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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-09-13T16:19:47.748-04:00",
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ImplementationGuide-hl7.fhir.uv.xver-r4.r4b",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "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": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
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            ],
            "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')"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-r4.r4b: ImplementationGuide.definition.extension[18].extension[0].value.ofType(string)"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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')"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
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            ],
            "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-r4.r4b: ImplementationGuide.definition.extension[62].extension[0].value.ofType(code)"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12840
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
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            ],
            "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')"
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            "expression": [
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            "extension": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
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            "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-r4.r4b: ImplementationGuide.definition.extension[63].extension[0].value.ofType(code)"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13004
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "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')"
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040613
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "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-r4.r4b: ImplementationGuide"
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1959
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING"
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            ],
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            "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"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_CLASH_PACKAGEID"
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            ],
            "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"
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        "id": "StructureDefinition-ext-R4-CD.re.code",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19498
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
              "StructureDefinition/ext-R4-CD.re.code: StructureDefinition"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-CD.re.code vs http://hl7.org/fhir/4.0/StructureDefinition/extension-CompartmentDefinition.resource.code"
            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19809
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-CapabilityStatement.re.re.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-CapabilityStatement.rest.resource.type"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-DataRequirement.type: StructureDefinition"
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            "extension": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-DataRequirement.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DataRequirement.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/extensions/StructureDefinition-ext-R4-DataRequirement.type"
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-EffectEvidenceSynthesis",
      "resource": {
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 699467
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-EffectEvidenceSynthesis: StructureDefinition"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "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/synthesis-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "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/synthesis-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-EffectEvidenceSynthesis vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EffectEvidenceSynthesis"
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              }
            ],
            "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/variable-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-EvidenceVariable.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.type"
            },
            "expression": [
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                "valueInteger": 19691
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ExampleScenario.in.resourceType vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ExampleScenario.instance.resourceType"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Extension.value vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Extension.value"
            },
            "expression": [
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            "code": "business-rule",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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            "code": "business-rule",
            "details": {
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            },
            "expression": [
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductContraindication vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductContraindication"
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            "expression": [
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            "details": {
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            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductIndication vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication"
            },
            "expression": [
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductIngredient vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIngredient"
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductInteraction vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductInteraction"
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductManufactured vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductManufactured"
            },
            "expression": [
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    {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 628146
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              {
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                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-MedicinalProductPackaged: StructureDefinition"
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          {
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductPackaged vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductPackaged"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/extensions/StructureDefinition-ext-R4-MedicinalProductPackaged"
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                "valueInteger": 1
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductPharmaceutical vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductPharmaceutical"
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            "expression": [
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicinalProductUndesirableEffect vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductUndesirableEffect"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/extensions/StructureDefinition-ext-R4-MedicinalProductUndesirableEffect"
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    },
    {
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              {
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                "valueString": "Publisher"
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    {
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            "code": "business-rule",
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            },
            "expression": [
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          }
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    {
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            "details": {
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            },
            "expression": [
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          }
        ]
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    },
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      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
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            "expression": [
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Questionnaire.subjectType",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/extensions/StructureDefinition-ext-R4-Questionnaire.subjectType"
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          }
        ]
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    },
    {
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "severity": "warning",
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            },
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
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            "details": {
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            },
            "expression": [
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          }
        ]
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    },
    {
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              {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "valueCode": "SD_CONTEXT_SHOULD_ELEMENT_NOT_FOUND"
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            ],
            "severity": "error",
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              "text": "The element SubstanceSpecification is not valid"
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            "expression": [
              "StructureDefinition/ext-R4-SS.co.code: StructureDefinition.context[0]"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-SS.co.code vs http://hl7.org/fhir/4.0/StructureDefinition/extension-SubstanceSpecification.code.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/extensions/StructureDefinition-ext-R4-SS.co.code"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-SS.co.comment",
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            "expression": [
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              "StructureDefinition.where(url = 'http://hl7.org/fhir/4.3/StructureDefinition/R4-EffectEvidenceSynthesis-for-R4B')"
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              "StructureDefinition/R4-MedicinalProduct-for-R4B: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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              "StructureDefinition/R4-MedicinalProductAuthorization-for-R4B: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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              "StructureDefinition/R4-MedicinalProductContraindication-for-R4B: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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              "StructureDefinition/R4-MedicinalProductContraindication-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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                "valueString": "Publisher"
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              "text": "The Implementation Guide contains no examples for this profile"
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/R4-MedicinalProductContraindication-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R4-MedicinalProductContraindication-for-R4B"
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              "text": "Unknown code 'MedicinalProductIndication' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
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              "StructureDefinition/R4-MedicinalProductIndication-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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            "expression": [
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              "text": "Unknown code 'MedicinalProductIngredient' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
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              "StructureDefinition/R4-MedicinalProductIngredient-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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          {
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          {
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            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/4.3/StructureDefinition/R4-MedicinalProductPharmaceutical-for-R4B')"
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            "severity": "error",
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              "text": "Unknown code 'RiskEvidenceSynthesis' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-RiskEvidenceSynthesis-for-R4B: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
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                "valueCode": "Unknown_Code_in_Version"
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            "expression": [
              "StructureDefinition/R4-RiskEvidenceSynthesis-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/4.3/StructureDefinition/R4-RiskEvidenceSynthesis-for-R4B')"
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            "expression": [
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          {
            "extension": [
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              "StructureDefinition.where(url = 'http://hl7.org/fhir/4.3/StructureDefinition/R4-SubstanceProtein-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/4.0/StructureDefinition/R4-SubstanceProtein-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R4-SubstanceProtein-for-R4B"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/profiles/StructureDefinition-R4-SubstanceProtein-for-R4B"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-R4-SubstanceReferenceInformation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4-SubstanceReferenceInformation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R4-SubstanceReferenceInformation-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/R4-SubstanceReferenceInformation-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/4.0/StructureDefinition/R4-SubstanceReferenceInformation-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R4-SubstanceReferenceInformation-for-R4B"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/profiles/StructureDefinition-R4-SubstanceReferenceInformation-for-R4B"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-R4-SubstanceSourceMaterial-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4-SubstanceSourceMaterial-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R4-SubstanceSourceMaterial-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/R4-SubstanceSourceMaterial-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/4.0/StructureDefinition/R4-SubstanceSourceMaterial-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R4-SubstanceSourceMaterial-for-R4B"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/profiles/StructureDefinition-R4-SubstanceSourceMaterial-for-R4B"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-R4-SubstanceSpecification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4-SubstanceSpecification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42353
              },
              {
                "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 'SubstanceSpecification' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-SubstanceSpecification-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": 47074
              },
              {
                "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 'SubstanceSpecification' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-SubstanceSpecification-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47078
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R4-SubstanceSpecification-for-R4B: StructureDefinition"
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          },
          {
            "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/R4-SubstanceSpecification-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/4.0/StructureDefinition/R4-SubstanceSpecification-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R4-SubstanceSpecification-for-R4B"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/profiles/StructureDefinition-R4-SubstanceSpecification-for-R4B"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-FHIR-version",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-FHIR-version",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/FHIR-version vs http://hl7.org/fhir/FHIR-version"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-FHIR-version"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-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": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/abstract-types vs http://hl7.org/fhir/abstract-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-abstract-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-account-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-account-status",
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                "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"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
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                "valueString": "Publisher"
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            "severity": "error",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/account-status vs http://hl7.org/fhir/account-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-account-status"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-action-cardinality-behavior",
      "resource": {
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                "valueInteger": 2385
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-cardinality-behavior"
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          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2669
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/action-condition-kind vs http://hl7.org/fhir/action-condition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-condition-kind"
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          }
        ]
      }
    },
    {
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      "resource": {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4336
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              {
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                "valueString": "InstanceValidator"
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                "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"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/action-grouping-behavior vs http://hl7.org/fhir/action-grouping-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-grouping-behavior"
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          }
        ]
      }
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    {
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      "resource": {
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        "issue": [
          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3016
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "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"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/action-participant-type vs http://hl7.org/fhir/action-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-participant-type"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-precheck-behavior"
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          }
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      }
    },
    {
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      "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": 4820
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/action-relationship-type vs http://hl7.org/fhir/action-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/action-required-behavior vs http://hl7.org/fhir/action-required-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-required-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/action-selection-behavior vs http://hl7.org/fhir/action-selection-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-action-selection-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-action-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-activity-definition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-activity-definition-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/additionalmaterials vs http://hl7.org/fhir/additionalmaterials"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-additionalmaterials"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/address-type vs http://hl7.org/fhir/address-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-address-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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": [
              "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/4.0/CodeSystem/address-use vs http://hl7.org/fhir/address-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-address-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-adjudication-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-adjudication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/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/4.0/CodeSystem/administrative-gender vs http://hl7.org/fhir/administrative-gender"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-administrative-gender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-adverse-event-actuality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-actuality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/adverse-event-actuality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/adverse-event-actuality vs http://hl7.org/fhir/adverse-event-actuality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-adverse-event-actuality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-adverse-event-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/adverse-event-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-adverse-event-causality-assess",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-causality-assess"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-adverse-event-seriousness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-seriousness",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/adverse-event-seriousness: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-adverse-event-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-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": 2236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-severity: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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-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://terminology.hl7.org/CodeSystem/allerg-intol-substance-exp-risk has an 'all system' value set of http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/allerg-intol-substance-exp-risk)"
            },
            "expression": [
              "CodeSystem/allerg-intol-substance-exp-risk: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/allergy-intolerance-category vs http://hl7.org/fhir/allergy-intolerance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-allergy-intolerance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/allergy-intolerance-criticality vs http://hl7.org/fhir/allergy-intolerance-criticality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-allergy-intolerance-criticality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-allergy-intolerance-type",
      "resource": {
        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3239
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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"
            ]
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/allergy-intolerance-type vs http://hl7.org/fhir/allergy-intolerance-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-allergy-intolerance-type"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-allergyintolerance-clinical",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
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            "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"
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            "expression": [
              "CodeSystem/allergyintolerance-clinical: CodeSystem"
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergyintolerance-verification"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-animal-genderstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-animal-genderstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3354
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem"
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/animal-genderstatus vs http://hl7.org/fhir/animal-genderstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-animal-genderstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-animal-species",
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          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3113
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
              "CodeSystem/animal-species: CodeSystem"
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          {
            "extension": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/animal-species vs http://hl7.org/fhir/animal-species"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-animal-species"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-appointment-cancellation-reason",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9156
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/appointment-cancellation-reason: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-appointmentstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-appointmentstatus",
        "issue": [
          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6105
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/appointmentstatus vs http://hl7.org/fhir/appointmentstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-appointmentstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/assert-direction-codes vs http://hl7.org/fhir/assert-direction-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-assert-direction-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/assert-operator-codes vs http://hl7.org/fhir/assert-operator-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-assert-operator-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-assert-response-code-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-response-code-types",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/assert-response-code-types vs http://hl7.org/fhir/assert-response-code-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-assert-response-code-types"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-asset-availability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-asset-availability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/asset-availability: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2022
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/asset-availability: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/asset-availability vs http://hl7.org/fhir/asset-availability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-asset-availability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-audit-entity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-entity-type"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-audit-event-action",
      "resource": {
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                "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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/audit-event-action vs http://hl7.org/fhir/audit-event-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-audit-event-action"
            ]
          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-audit-event-outcome",
      "resource": {
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/audit-event-outcome vs http://hl7.org/fhir/audit-event-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-audit-event-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-audit-event-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-audit-source-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-source-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/audit-source-type vs http://terminology.hl7.org/CodeSystem/security-source-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-audit-source-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-basic-resource-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-basic-resource-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-benefit-network",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-network"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-benefit-term",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-term"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-benefit-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-benefit-unit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-unit"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/binding-strength vs http://hl7.org/fhir/binding-strength"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-binding-strength"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/bundle-type vs http://hl7.org/fhir/bundle-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-bundle-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/capability-statement-kind vs http://hl7.org/fhir/capability-statement-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-capability-statement-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-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/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/4.0/CodeSystem/care-plan-activity-status vs http://hl7.org/fhir/care-plan-activity-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-care-plan-activity-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/care-team-status vs http://hl7.org/fhir/care-team-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-care-team-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-catalogType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-catalogType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/catalogType has an 'all system' value set of http://hl7.org/fhir/ValueSet/catalogType|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/catalogType)"
            },
            "expression": [
              "CodeSystem/catalogType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-cdshooks-indicator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cdshooks-indicator",
        "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": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/cdshooks-indicator: CodeSystem"
            ]
          },
          {
            "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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/cdshooks-indicator: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/cdshooks-indicator vs http://cds-hooks.hl7.org/CodeSystem/indicator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-cdshooks-indicator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-certainty-subcomponent-rating",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-certainty-subcomponent-rating"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-certainty-subcomponent-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-certainty-subcomponent-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-chargeitem-billingcodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chargeitem-billingcodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/chargeitem-status vs http://hl7.org/fhir/chargeitem-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-chargeitem-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-choice-list-orientation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-choice-list-orientation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/choice-list-orientation has an 'all system' value set of http://hl7.org/fhir/ValueSet/choice-list-orientation|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/choice-list-orientation)"
            },
            "expression": [
              "CodeSystem/choice-list-orientation: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6462
              },
              {
                "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"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-claim-careteamrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-careteamrole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/claim-careteamrole vs http://terminology.hl7.org/CodeSystem/claimcareteamrole"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-claim-careteamrole"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-claim-exception",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-exception"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-claim-informationcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-informationcategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/claim-informationcategory vs http://terminology.hl7.org/CodeSystem/claiminformationcategory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-claim-informationcategory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-claim-modifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-modifiers",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/claim-modifiers vs http://terminology.hl7.org/CodeSystem/modifiers"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-claim-modifiers"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-claim-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/claim-subtype vs http://terminology.hl7.org/CodeSystem/ex-claimsubtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-claim-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-claim-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/claim-use vs http://hl7.org/fhir/claim-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-claim-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-code-search-support",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-code-search-support",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/code-search-support vs http://hl7.org/fhir/code-search-support"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-code-search-support"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-codesystem-altcode-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-altcode-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/codesystem-altcode-kind has an 'all system' value set of http://hl7.org/fhir/ValueSet/codesystem-altcode-kind|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/codesystem-altcode-kind)"
            },
            "expression": [
              "CodeSystem/codesystem-altcode-kind: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-codesystem-content-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-content-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/codesystem-content-mode vs http://hl7.org/fhir/codesystem-content-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-codesystem-content-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-codesystem-hierarchy-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-hierarchy-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/codesystem-hierarchy-meaning vs http://hl7.org/fhir/codesystem-hierarchy-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-codesystem-hierarchy-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-common-tags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-common-tags"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-communication-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-communication-not-done-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-not-done-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-communication-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-topic"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/compartment-type vs http://hl7.org/fhir/compartment-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-compartment-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-composite-measure-scoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composite-measure-scoring"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-composition-altcode-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composition-altcode-kind"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/composition-attestation-mode vs http://hl7.org/fhir/composition-attestation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-composition-attestation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/composition-status vs http://hl7.org/fhir/composition-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-composition-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-map-equivalence: 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/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/4.0/CodeSystem/concept-map-equivalence vs http://hl7.org/fhir/concept-map-equivalence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-concept-map-equivalence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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": 4710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'draft' and the standards status 'normative' are not consistent"
            },
            "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": 4710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 4710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_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/4.0/CodeSystem/concept-properties vs http://hl7.org/fhir/concept-properties"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-concept-properties"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-concept-property-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-property-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/concept-property-type vs http://hl7.org/fhir/concept-property-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-concept-property-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-concept-subsumption-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-subsumption-outcome",
        "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": [
              "CodeSystem/concept-subsumption-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/4.0/CodeSystem/concept-subsumption-outcome vs http://hl7.org/fhir/concept-subsumption-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-concept-subsumption-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-conceptmap-unmapped-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conceptmap-unmapped-mode",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/conceptmap-unmapped-mode vs http://hl7.org/fhir/conceptmap-unmapped-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-conceptmap-unmapped-mode"
            ]
          }
        ]
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    },
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      "resource": {
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            "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"
            ]
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    {
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      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            },
            "expression": [
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        "resourceType": "OperationOutcome",
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                "valueInteger": 2967
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
              "CodeSystem/conditional-delete-status: CodeSystem"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/conditional-delete-status vs http://hl7.org/fhir/conditional-delete-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-conditional-delete-status"
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          }
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      }
    },
    {
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                "valueInteger": 1
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              {
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                "valueInteger": 3296
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "expression": [
              "CodeSystem/conditional-read-status: CodeSystem"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/conditional-read-status vs http://hl7.org/fhir/conditional-read-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-conditional-read-status"
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          }
        ]
      }
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    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-action"
            ]
          }
        ]
      }
    },
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-category"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3160
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/consent-data-meaning vs http://hl7.org/fhir/consent-data-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-data-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-performer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-performer",
        "issue": [
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4104
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/consent-performer: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/consent-performer vs http://hl7.org/fhir/consentperformer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-performer"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-policy",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/consent-policy vs http://terminology.hl7.org/CodeSystem/consentpolicycodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-policy"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-provision-type",
      "resource": {
        "resourceType": "OperationOutcome",
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              {
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-provision-type"
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          }
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                "valueString": "Publisher"
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            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-scope"
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          }
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      }
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    {
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      "resource": {
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                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
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              "CodeSystem/consent-state-codes: CodeSystem"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
            "severity": "error",
            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-consent-state-codes"
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          }
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    {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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"
            ]
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/constraint-severity vs http://hl7.org/fhir/constraint-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-constraint-severity"
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          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5166
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contact-point-system vs http://hl7.org/fhir/contact-point-system"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contact-point-system"
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          }
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                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contact-point-use vs http://hl7.org/fhir/contact-point-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contact-point-use"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contactentity-type",
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        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contactentity-type"
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-container-cap",
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        "resourceType": "OperationOutcome",
        "id": "CodeSystem-container-cap"
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-action",
      "resource": {
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        "id": "CodeSystem-contract-action",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-action vs http://terminology.hl7.org/CodeSystem/contractaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-actionstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-actionstatus",
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2064
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-actionstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2064
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
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            "code": "business-rule",
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              "text": "The nominated WG 'fm' means that the contact url should be 'http://www.hl7.org/Special/committees/fm' but it was not found"
            },
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-actionstatus vs http://hl7.org/fhir/contract-action-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-actionstatus"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-actorrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-actorrole",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-actorrole vs http://terminology.hl7.org/CodeSystem/contractactorrole"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-actorrole"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-assetcontext",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-assetcontext",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2069
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "CodeSystem/contract-assetcontext: CodeSystem"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 2069
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contract-asset-context has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-assetcontext|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contract-assetcontext)"
            },
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              "CodeSystem/contract-assetcontext: CodeSystem"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-assetcontext vs http://hl7.org/fhir/contract-asset-context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-assetcontext"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-assetscope",
      "resource": {
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        "id": "CodeSystem-contract-assetscope",
        "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"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "CodeSystem/contract-assetscope: CodeSystem"
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                "valueInteger": 1
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              {
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                "valueInteger": 2027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "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-assetscope: CodeSystem"
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          },
          {
            "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"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contract-asset-scope has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-assetscope|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contract-assetscope)"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-assetscope vs http://hl7.org/fhir/contract-asset-scope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-assetscope"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-assetsubtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-assetsubtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2091
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "details": {
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            "expression": [
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                "valueInteger": 1
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              {
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                "valueInteger": 2091
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-assetsubtype: CodeSystem"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contract-asset-subtype has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-assetsubtype|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contract-assetsubtype)"
            },
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-assetsubtype vs http://hl7.org/fhir/contract-asset-subtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-assetsubtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-assettype",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2056
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "CodeSystem/contract-assettype: CodeSystem"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 2056
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contract-asset-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-assettype|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contract-assettype)"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-assettype vs http://hl7.org/fhir/contract-asset-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-assettype"
            ]
          }
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      }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-content-derivative",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-content-derivative"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-data-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2061
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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"
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            "expression": [
              "CodeSystem/contract-decision-mode: CodeSystem"
            ]
          },
          {
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                "valueInteger": 1
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              {
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                "valueInteger": 2061
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
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            ],
            "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-decision-mode: CodeSystem"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-decision-mode vs http://hl7.org/fhir/contract-decision-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-decision-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-definition-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-definition-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2115
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-definition-subtype: CodeSystem"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2115
              },
              {
                "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",
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            "expression": [
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            "expression": [
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            "expression": [
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            },
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              {
                "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_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-security-control: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-security-control vs http://hl7.org/fhir/contract-security-control"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-security-control"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-signer-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-signer-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-signer-type vs http://terminology.hl7.org/CodeSystem/contractsignertypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-signer-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 13766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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": 13766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
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            ],
            "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"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-status vs http://hl7.org/fhir/contract-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-subtype",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-subtype vs http://terminology.hl7.org/CodeSystem/contractsubtypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-term-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-term-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-term-subtype vs http://terminology.hl7.org/CodeSystem/contracttermsubtypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-term-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-term-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-term-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-term-type vs http://terminology.hl7.org/CodeSystem/contracttermtypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contract-term-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contributor-type vs http://hl7.org/fhir/contributor-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-contributor-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-copy-number-event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-copy-number-event"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-coverage-class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-class"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-coverage-copay-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-copay-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-coverage-financial-exception",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-financial-exception",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/coverage-financial-exception vs http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-coverage-financial-exception"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-coverage-selfpay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-selfpay"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-coverageeligibilityresponse-ex-auth-support",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverageeligibilityresponse-ex-auth-support"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-data-absent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-data-absent-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 27696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-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": 27696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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[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/4.0/CodeSystem/data-types vs http://hl7.org/fhir/data-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-data-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/days-of-week vs http://hl7.org/fhir/days-of-week"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-days-of-week"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-definition-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-resource-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/definition-resource-types vs http://hl7.org/fhir/definition-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-definition-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-definition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-definition-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-topic"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-definition-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-use"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-designation-usage"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/detectedissue-severity vs http://hl7.org/fhir/detectedissue-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-detectedissue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/device-action vs http://hl7.org/fhir/device-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-device-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-device-definition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-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": 3835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/device-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/4.0/CodeSystem/device-definition-status vs http://hl7.org/fhir/device-definition-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-device-definition-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-device-nametype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-nametype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-nametype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/device-nametype vs http://hl7.org/fhir/device-nametype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-device-nametype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/device-statement-status vs http://hl7.org/fhir/device-statement-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-device-statement-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-device-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-status-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/device-status vs http://hl7.org/fhir/device-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-device-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 3287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/diagnostic-report-status vs http://hl7.org/fhir/diagnostic-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-diagnostic-report-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 4720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 736129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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": 1267255
              },
              {
                "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": 1267255
              },
              {
                "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/4.0/CodeSystem/dicom-dcim vs http://dicom.nema.org/resources/ontology/DCM"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-dicom-dcim"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/discriminator-type vs http://hl7.org/fhir/discriminator-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-discriminator-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/document-mode vs http://hl7.org/fhir/document-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-document-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/document-reference-status vs http://hl7.org/fhir/document-reference-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-document-reference-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/document-relationship-type vs http://hl7.org/fhir/document-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-document-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-dose-rate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dose-rate-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-effect-estimate-type",
      "resource": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/eligibilityrequest-purpose vs http://hl7.org/fhir/eligibilityrequest-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-eligibilityrequest-purpose"
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          }
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      }
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              "CodeSystem/eligibilityresponse-purpose: CodeSystem"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/eligibilityresponse-purpose vs http://hl7.org/fhir/eligibilityresponse-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-eligibilityresponse-purpose"
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                "valueString": "Publisher"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/encounter-admit-source vs http://terminology.hl7.org/CodeSystem/admit-source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-encounter-admit-source"
            ]
          }
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    {
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/encounter-diet vs http://terminology.hl7.org/CodeSystem/diet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-encounter-diet"
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          }
        ]
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    {
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/encounter-discharge-disposition vs http://terminology.hl7.org/CodeSystem/discharge-disposition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-encounter-discharge-disposition"
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          }
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/encounter-location-status vs http://hl7.org/fhir/encounter-location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-encounter-location-status"
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                "valueString": "Publisher"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/encounter-participant-type vs http://terminology.hl7.org/CodeSystem/participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-encounter-participant-type"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/encounter-status vs http://hl7.org/fhir/encounter-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-encounter-status"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/endpoint-status vs http://hl7.org/fhir/endpoint-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-endpoint-status"
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/episode-of-care-status vs http://hl7.org/fhir/episode-of-care-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-episode-of-care-status"
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        ]
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                "valueInteger": 1
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            },
            "expression": [
              "CodeSystem/event-capability-mode: CodeSystem"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/event-capability-mode vs http://hl7.org/fhir/event-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-event-capability-mode"
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          }
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    {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/event-resource-types vs http://hl7.org/fhir/event-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-event-resource-types"
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          }
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
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            "expression": [
              "CodeSystem/event-status: CodeSystem"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/event-status vs http://hl7.org/fhir/event-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-event-status"
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    {
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                "valueInteger": 7076
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                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
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            "severity": "warning",
            "code": "business-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"
            ]
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/event-timing vs http://hl7.org/fhir/event-timing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-event-timing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-evidence-quality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-quality"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-evidence-variant-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-variant-state"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-benefitcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-benefitcategory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-diagnosis-on-admission",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosis-on-admission"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-diagnosisrelatedgroup",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosisrelatedgroup"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-diagnosistype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosistype"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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": [
              "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/4.0/CodeSystem/ex-onsettype vs http://hl7.org/fhir/ex-onsettype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-ex-onsettype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-payee-resource-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-payee-resource-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-paymenttype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-paymenttype"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-procedure-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-procedure-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-program-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-program-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/ex-program-code vs http://terminology.hl7.org/CodeSystem/ex-programcode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-ex-program-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-ex-revenue-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-revenue-center"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-example-supplement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-example-supplement",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem"
            ]
          },
          {
            "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": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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-supplement: CodeSystem"
            ]
          },
          {
            "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": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem"
            ]
          },
          {
            "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": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/example-supplement: 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": 2973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/example-supplement vs http://hl7.org/fhir/CodeSystem/example-supplement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-example-supplement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2951
              },
              {
                "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": 3181
              },
              {
                "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": 3386
              },
              {
                "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": 3453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/example vs http://hl7.org/fhir/CodeSystem/example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-example"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-examplescenario-actor-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-examplescenario-actor-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/examplescenario-actor-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/4.0/CodeSystem/examplescenario-actor-type vs http://hl7.org/fhir/examplescenario-actor-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-examplescenario-actor-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-expansion-parameter-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-expansion-parameter-source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/expansion-parameter-source has an 'all system' value set of http://hl7.org/fhir/ValueSet/expansion-parameter-source|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/expansion-parameter-source)"
            },
            "expression": [
              "CodeSystem/expansion-parameter-source: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-expansion-processing-rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-expansion-processing-rule"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/explanationofbenefit-status vs http://hl7.org/fhir/explanationofbenefit-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-explanationofbenefit-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-exposure-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-exposure-state",
        "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/exposure-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/4.0/CodeSystem/exposure-state vs http://hl7.org/fhir/exposure-state"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-exposure-state"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-expression-language",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-expression-language",
        "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": [
              "CodeSystem/expression-language: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/expression-language vs http://hl7.org/fhir/expression-language"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-expression-language"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-extension-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extension-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": 3463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-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/4.0/CodeSystem/extension-context-type vs http://hl7.org/fhir/extension-context-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-extension-context-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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": 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/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/4.0/CodeSystem/extra-activity-type vs http://hl7.org/fhir/extra-activity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-extra-activity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-feeding-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-feeding-device",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/feeding-device: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/feeding-device vs http://hl7.org/fhir/feeding-device"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-feeding-device"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-filter-operator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-filter-operator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/filter-operator vs http://hl7.org/fhir/filter-operator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-filter-operator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-financial-taskcode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-financial-taskcode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/financial-taskcode vs http://terminology.hl7.org/CodeSystem/financialtaskcode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-financial-taskcode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-financial-taskinputtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-financial-taskinputtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/financial-taskinputtype vs http://terminology.hl7.org/CodeSystem/financialtaskinputtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-financial-taskinputtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-flag-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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": [
              "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/4.0/CodeSystem/flag-priority vs http://hl7.org/fhir/flag-priority-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-flag-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/flag-status vs http://hl7.org/fhir/flag-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-flag-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/fm-conditions vs http://hl7.org/fhir/fm-conditions"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-fm-conditions"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/fm-itemtype vs http://hl7.org/fhir/ex-claimitemtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-fm-itemtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/fm-status vs http://hl7.org/fhir/fm-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-fm-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/forms vs http://terminology.hl7.org/CodeSystem/forms-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-forms"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-gender-identity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-gender-identity",
        "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": [
              "CodeSystem/gender-identity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/gender-identity vs http://hl7.org/fhir/gender-identity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-gender-identity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-acceptance-status",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/history-status vs http://hl7.org/fhir/history-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-history-status"
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                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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            "details": {
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              {
                "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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/http-operations vs http://hl7.org/fhir/http-operations"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-http-operations"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/http-verb vs http://hl7.org/fhir/http-verb"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-http-verb"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/icd-10-procedures vs http://hl7.org/fhir/sid/ex-icd-10-procedures"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-icd-10-procedures"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/identifier-use vs http://hl7.org/fhir/identifier-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-identifier-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/identity-assuranceLevel vs http://hl7.org/fhir/identity-assuranceLevel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-identity-assuranceLevel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-imagingstudy-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-imagingstudy-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": [
              "CodeSystem/imagingstudy-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/4.0/CodeSystem/imagingstudy-status vs http://hl7.org/fhir/imagingstudy-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-imagingstudy-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-immunization-evaluation-dose-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-evaluation-dose-status-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-immunization-evaluation-dose-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-evaluation-dose-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-immunization-funding-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-funding-source"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-immunization-origin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-origin"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-immunization-program-eligibility",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-program-eligibility"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-immunization-recommendation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-recommendation-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-immunization-subpotent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-subpotent-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-implantStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-implantStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/implantStatus has an 'all system' value set of http://hl7.org/fhir/ValueSet/implantStatus|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/implantStatus)"
            },
            "expression": [
              "CodeSystem/implantStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-insuranceplan-applicability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-insuranceplan-applicability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/insuranceplan-applicability vs http://terminology.hl7.org/CodeSystem/applicability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-insuranceplan-applicability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-insuranceplan-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-insuranceplan-type",
        "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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/insuranceplan-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/4.0/CodeSystem/insuranceplan-type vs http://terminology.hl7.org/CodeSystem/insurance-plan-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-insuranceplan-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/intervention vs http://hl7.org/fhir/intervention"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-intervention"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-invoice-priceComponentType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-invoice-priceComponentType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/invoice-priceComponentType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/invoice-priceComponentType vs http://hl7.org/fhir/invoice-priceComponentType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-invoice-priceComponentType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-invoice-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-invoice-status",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/invoice-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/4.0/CodeSystem/invoice-status vs http://hl7.org/fhir/invoice-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-invoice-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 16714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/issue-severity vs http://hl7.org/fhir/issue-severity"
            },
            "expression": [
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
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            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/issue-type vs http://hl7.org/fhir/issue-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-issue-type"
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    {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/item-type vs http://hl7.org/fhir/item-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-item-type"
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                "valueString": "Publisher"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/knowledge-resource-types vs http://hl7.org/fhir/knowledge-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-knowledge-resource-types"
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          }
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    {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-language-preference-type"
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          }
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    {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            },
            "expression": [
              "CodeSystem/link-type: CodeSystem"
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          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/link-type vs http://hl7.org/fhir/link-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-link-type"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-linkage-type",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3209
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/linkage-type vs http://hl7.org/fhir/linkage-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-linkage-type"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-empty-reason"
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    },
    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/list-example-codes vs http://terminology.hl7.org/CodeSystem/list-example-use-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-list-example-codes"
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          }
        ]
      }
    },
    {
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                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/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-r4.r4b/input/vocabulary/CodeSystem-list-item-flag"
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          }
        ]
      }
    },
    {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2923
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/list-mode vs http://hl7.org/fhir/list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-list-mode"
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    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2642
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "extension": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/list-status vs http://hl7.org/fhir/list-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-list-status"
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          }
        ]
      }
    },
    {
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "CodeSystem/location-mode: CodeSystem"
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          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/location-mode vs http://hl7.org/fhir/location-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-location-mode"
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    {
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    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 2416
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "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"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/location-status vs http://hl7.org/fhir/location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-location-status"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-context-type",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2162
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/map-context-type vs http://hl7.org/fhir/map-context-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-map-context-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-group-type-mode",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2834
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-map-model-mode"
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    {
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              "CodeSystem/map-target-list-mode: CodeSystem"
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                "valueString": "Publisher"
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            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-map-target-list-mode"
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          }
        ]
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/map-transform vs http://hl7.org/fhir/map-transform"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-map-transform"
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                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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      "resource": {
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    {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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          {
            "extension": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/measure-report-status vs http://hl7.org/fhir/measure-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-measure-report-status"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "CodeSystem/measure-report-type: CodeSystem"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/measure-report-type vs http://hl7.org/fhir/measure-report-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-measure-report-type"
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      "resource": {
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-med-admin-perform-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-med-admin-perform-function"
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-media-modality",
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        "resourceType": "OperationOutcome",
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    {
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-admin-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-admin-category"
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    {
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      "resource": {
        "resourceType": "OperationOutcome",
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-statement-status",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4809
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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": "Publisher"
              }
            ],
            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/medication-statement-status vs http://hl7.org/fhir/CodeSystem/medication-statement-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-medication-statement-status"
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      }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-status",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 2504
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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"
            ]
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/medication-status vs http://hl7.org/fhir/CodeSystem/medication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-medication-status"
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationdispense-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationdispense-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medicationdispense-category)"
            },
            "expression": [
              "CodeSystem/medicationdispense-category: CodeSystem"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/medicationdispense-category vs http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-medicationdispense-category"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationdispense-performer-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-performer-function"
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationdispense-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-status-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medicationdispense-status-reason)"
            },
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              "CodeSystem/medicationdispense-status-reason: CodeSystem"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/medicationdispense-status-reason vs http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-status-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-medicationdispense-status-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationdispense-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationknowledge-characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-characteristic"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationknowledge-package-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-package-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationknowledge-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationrequest-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationrequest-course-of-therapy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-course-of-therapy"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationrequest-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-intent",
        "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 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medicationrequest-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/4.0/CodeSystem/medicationrequest-intent vs http://hl7.org/fhir/CodeSystem/medicationrequest-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-medicationrequest-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationrequest-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-status-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationrequest-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/medicationrequest-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/4.0/CodeSystem/medicationrequest-status vs http://hl7.org/fhir/CodeSystem/medicationrequest-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-medicationrequest-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/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": 1891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_COMPLETE_AND_EMPTY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "When a CodeSystem has content = 'complete', it doesnt make sense for there to be no concepts defined"
            },
            "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/4.0/CodeSystem/message-events vs http://hl7.org/fhir/message-events"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-message-events"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-message-reason-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-reason-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/message-reason-encounter vs http://terminology.hl7.org/CodeSystem/message-reasons-encounter"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-message-reason-encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/message-significance-category vs http://hl7.org/fhir/message-significance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-message-significance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-message-transport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-transport"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3120
              },
              {
                "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": 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 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "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/4.0/CodeSystem/messageheader-response-request vs http://hl7.org/fhir/messageheader-response-request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-messageheader-response-request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/metric-calibration-state vs http://hl7.org/fhir/metric-calibration-state"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-metric-calibration-state"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/metric-calibration-type vs http://hl7.org/fhir/metric-calibration-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-metric-calibration-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/metric-category vs http://hl7.org/fhir/metric-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-metric-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/metric-color vs http://hl7.org/fhir/metric-color"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-metric-color"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/metric-operational-status vs http://hl7.org/fhir/metric-operational-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-metric-operational-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-missing-tooth-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-missing-tooth-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/missing-tooth-reason vs http://terminology.hl7.org/CodeSystem/missingtoothreason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-missing-tooth-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/name-use vs http://hl7.org/fhir/name-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-name-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/namingsystem-identifier-type vs http://hl7.org/fhir/namingsystem-identifier-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-namingsystem-identifier-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/namingsystem-type vs http://hl7.org/fhir/namingsystem-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-namingsystem-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/narrative-status vs http://hl7.org/fhir/narrative-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-narrative-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2858
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/network-type vs http://hl7.org/fhir/network-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-network-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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/4.0/CodeSystem/nhin-purposeofuse vs http://healthit.gov/nhin/purposeofuse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-nhin-purposeofuse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/note-type vs http://hl7.org/fhir/note-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-note-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-object-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-object-role"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-observation-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-observation-range-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-range-category",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/observation-range-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/4.0/CodeSystem/observation-range-category vs http://hl7.org/fhir/observation-range-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-observation-range-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-observation-statistics",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-statistics",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/observation-statistics has an 'all system' value set of http://hl7.org/fhir/ValueSet/observation-statistics|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/observation-statistics)"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/observation-status vs http://hl7.org/fhir/observation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-observation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/operation-kind vs http://hl7.org/fhir/operation-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-operation-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-operation-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-outcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82841
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            ],
            "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]"
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        ]
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-operation-parameter-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-parameter-use",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2318
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-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"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/operation-parameter-use vs http://hl7.org/fhir/operation-parameter-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-operation-parameter-use"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-oral-prosthodontic-material",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-oral-prosthodontic-material",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/oral-prosthodontic-material vs http://hl7.org/fhir/ex-oralprostho"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-oral-prosthodontic-material"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-organization-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-organization-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4558
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/organization-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/4.0/CodeSystem/organization-role vs http://hl7.org/fhir/organization-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-organization-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-organization-type",
      "resource": {
        "resourceType": "OperationOutcome",
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-orientation-type",
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        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/orientation-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/4.0/CodeSystem/orientation-type vs http://hl7.org/fhir/orientation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-orientation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-parameter-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-parameter-group"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/participantrequired vs http://hl7.org/fhir/participantrequired"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-participantrequired"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/participationstatus vs http://hl7.org/fhir/participationstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-participationstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/payeetype: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-payment-adjustment-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-adjustment-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-payment-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/payment-status vs http://terminology.hl7.org/CodeSystem/paymentstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-payment-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-payment-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-permitted-data-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-permitted-data-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4474
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/permitted-data-type: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/permitted-data-type vs http://hl7.org/fhir/permitted-data-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-permitted-data-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-plan-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-plan-definition-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-practitioner-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-practitioner-role"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/practitioner-specialty: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/4.0/CodeSystem/practitioner-specialty vs http://hl7.org/fhir/practitioner-specialty"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-practitioner-specialty"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-precision-estimate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-precision-estimate-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/procedure-progress-status-codes vs http://hl7.org/fhir/procedure-progress-status-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-procedure-progress-status-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-process-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-process-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/process-priority vs http://terminology.hl7.org/CodeSystem/processpriority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-process-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-product-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-category",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/product-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/4.0/CodeSystem/product-category vs http://hl7.org/fhir/product-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-product-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-product-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-status",
        "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": [
              "CodeSystem/product-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/4.0/CodeSystem/product-status vs http://hl7.org/fhir/product-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-product-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-product-storage-scale",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-storage-scale",
        "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": "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/product-storage-scale: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/product-storage-scale vs http://hl7.org/fhir/product-storage-scale"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-product-storage-scale"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-program",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-program",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/program: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/property-representation vs http://hl7.org/fhir/property-representation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-property-representation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-provenance-agent-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provenance-agent-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/provenance-agent-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5909
              },
              {
                "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/provenance-agent-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/4.0/CodeSystem/provenance-agent-role vs http://hl7.org/fhir/provenance-participant-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-provenance-agent-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-provenance-agent-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provenance-agent-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/provenance-agent-type vs http://terminology.hl7.org/CodeSystem/provenance-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-provenance-agent-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/provenance-entity-role vs http://hl7.org/fhir/provenance-entity-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-provenance-entity-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-provider-qualification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provider-qualification",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/provider-qualification vs http://terminology.hl7.org/CodeSystem/ex-providerqualification"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-provider-qualification"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/publication-status vs http://hl7.org/fhir/publication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-publication-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/quality-type vs http://hl7.org/fhir/quality-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-quality-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/quantity-comparator vs http://hl7.org/fhir/quantity-comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-quantity-comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-question-max-occurs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-question-max-occurs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/questionnaire-answers-status vs http://hl7.org/fhir/questionnaire-answers-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-questionnaire-answers-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/questionnaire-display-category vs http://hl7.org/fhir/questionnaire-display-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-questionnaire-display-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-questionnaire-enable-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-enable-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-enable-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/4.0/CodeSystem/questionnaire-enable-behavior vs http://hl7.org/fhir/questionnaire-enable-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-questionnaire-enable-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-questionnaire-enable-operator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-enable-operator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-enable-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/4.0/CodeSystem/questionnaire-enable-operator vs http://hl7.org/fhir/questionnaire-enable-operator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-questionnaire-enable-operator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 14766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": 14766
              },
              {
                "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/4.0/CodeSystem/questionnaire-item-control vs http://hl7.org/fhir/questionnaire-item-control"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-questionnaire-item-control"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-questionnaire-usage-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-usage-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/questionnaire-usage-mode has an 'all system' value set of http://hl7.org/fhir/ValueSet/questionnaire-usage-mode|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/questionnaire-usage-mode)"
            },
            "expression": [
              "CodeSystem/questionnaire-usage-mode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-reaction-event-certainty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reaction-event-certainty",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/reaction-event-certainty has an 'all system' value set of http://hl7.org/fhir/ValueSet/reaction-event-certainty|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/reaction-event-certainty)"
            },
            "expression": [
              "CodeSystem/reaction-event-certainty: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/reaction-event-severity vs http://hl7.org/fhir/reaction-event-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-reaction-event-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/reason-medication-given-codes vs http://terminology.hl7.org/CodeSystem/reason-medication-given"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-reason-medication-given-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/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-r4.r4b/input/vocabulary/CodeSystem-reason-medication-not-given-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-recommendation-strength",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-recommendation-strength"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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": [
              "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/4.0/CodeSystem/reference-handling-policy vs http://hl7.org/fhir/reference-handling-policy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-reference-handling-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/reference-version-rules vs http://hl7.org/fhir/reference-version-rules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-reference-version-rules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-referencerange-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-referencerange-meaning"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-rejection-criteria",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-rejection-criteria"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/related-artifact-type vs http://hl7.org/fhir/related-artifact-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-related-artifact-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-related-claim-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-related-claim-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/related-claim-relationship vs http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-related-claim-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-relation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-relation-type",
        "issue": [
          {
            "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/relation-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/4.0/CodeSystem/relation-type vs http://hl7.org/fhir/relation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-relation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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/4.0/CodeSystem/relationship vs http://hl7.org/fhir/relationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/remittance-outcome vs http://hl7.org/fhir/remittance-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-remittance-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/report-action-result-codes vs http://hl7.org/fhir/report-action-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-report-action-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/report-participant-type vs http://hl7.org/fhir/report-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-report-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/report-result-codes vs http://hl7.org/fhir/report-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-report-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/report-status-codes vs http://hl7.org/fhir/report-status-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-report-status-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/repository-type vs http://hl7.org/fhir/repository-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-repository-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/request-intent vs http://hl7.org/fhir/request-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-request-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/request-priority vs http://hl7.org/fhir/request-priority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-request-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-request-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-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": 6375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/request-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/4.0/CodeSystem/request-resource-types vs http://hl7.org/fhir/request-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-request-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/request-status vs http://hl7.org/fhir/request-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-request-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-element-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-element-type",
        "issue": [
          {
            "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": "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/research-element-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/4.0/CodeSystem/research-element-type vs http://hl7.org/fhir/research-element-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-research-element-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-study-objective-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-objective-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-study-phase",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-phase"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-study-prim-purp-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-prim-purp-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-study-reason-stopped",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-reason-stopped"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/research-study-status vs http://hl7.org/fhir/research-study-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-research-study-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/research-subject-status vs http://hl7.org/fhir/research-subject-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-research-subject-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/resource-aggregation-mode vs http://hl7.org/fhir/resource-aggregation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-resource-aggregation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-resource-security-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-security-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/resource-security-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/resource-security-category|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/resource-security-category)"
            },
            "expression": [
              "CodeSystem/resource-security-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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/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/4.0/CodeSystem/resource-slicing-rules vs http://hl7.org/fhir/resource-slicing-rules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-resource-slicing-rules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-resource-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'mnm' means that the publisher should be 'HL7 International / Modeling and Methodology' but 'Modeling and Methodology' was found"
            },
            "expression": [
              "CodeSystem/resource-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_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/resource-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/resource-status: CodeSystem.concept[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/resource-status vs http://hl7.org/fhir/resource-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-resource-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-resource-type-link",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-type-link"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 176922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/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/4.0/CodeSystem/resource-types vs http://hl7.org/fhir/resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/resource-validation-mode vs http://hl7.org/fhir/resource-validation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-resource-validation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/response-code vs http://hl7.org/fhir/response-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-response-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/restful-capability-mode vs http://hl7.org/fhir/restful-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-restful-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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": 6996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": 6996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/restful-interaction vs http://hl7.org/fhir/restful-interaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-restful-interaction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-restful-security-service",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-security-service"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-risk-estimate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-risk-estimate-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-risk-probability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-risk-probability"
      }
    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
              "CodeSystem/search-comparator: CodeSystem"
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          {
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/search-comparator vs http://hl7.org/fhir/search-comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-search-comparator"
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          }
        ]
      }
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    {
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              {
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                "valueInteger": 2927
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              {
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                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-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"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/search-entry-mode vs http://hl7.org/fhir/search-entry-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-search-entry-mode"
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          }
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      }
    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "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"
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          {
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/search-modifier-code vs http://hl7.org/fhir/search-modifier-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-search-modifier-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-search-param-type",
      "resource": {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5364
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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              "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"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/search-param-type vs http://hl7.org/fhir/search-param-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-search-param-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-search-xpath-usage",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3524
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "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"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/search-xpath-usage vs http://hl7.org/fhir/search-xpath-usage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-search-xpath-usage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-secondary-finding",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-secondary-finding",
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          {
            "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/secondary-finding: CodeSystem"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/secondary-finding vs http://hl7.org/fhir/secondary-finding"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-secondary-finding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-sequence-type",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
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                "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": "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": [
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            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/sequence-type vs http://hl7.org/fhir/sequence-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-sequence-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-category"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-modifiers",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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"
            ]
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/service-modifiers vs http://hl7.org/fhir/ex-servicemodifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-service-modifiers"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/service-pharmacy vs http://hl7.org/fhir/ex-pharmaservice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-service-pharmacy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-place",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-place",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/service-place vs http://terminology.hl7.org/CodeSystem/ex-serviceplace"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-service-place"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/service-product vs http://hl7.org/fhir/ex-serviceproduct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-service-product"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-provision-conditions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-provision-conditions"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-referral-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-referral-method"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-uscls",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-uscls",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/service-uscls vs http://terminology.hl7.org/CodeSystem/ex-USCLS"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-service-uscls"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-signature-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-signature-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/signature-type vs urn:iso-astm:E1762-95:2013"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-signature-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/slotstatus vs http://hl7.org/fhir/slotstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-slotstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-smart-capabilities",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-smart-capabilities"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-snomedct",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-snomedct",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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              "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]"
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          },
          {
            "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]"
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          },
          {
            "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/4.0/CodeSystem/snomedct vs http://snomed.info/sct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-snomedct"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-sort-direction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-sort-direction",
        "issue": [
          {
            "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/sort-direction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/sort-direction vs http://hl7.org/fhir/sort-direction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-sort-direction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-spdx-license",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-spdx-license",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/spdx-license: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/spdx-license vs http://hl7.org/fhir/spdx-license"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-spdx-license"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-special-values",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-special-values"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-specimen-contained-preference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-specimen-contained-preference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-contained-preference: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/specimen-contained-preference vs http://hl7.org/fhir/specimen-contained-preference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-specimen-contained-preference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/specimen-status vs http://hl7.org/fhir/specimen-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-specimen-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-standards-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-standards-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/standards-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/standards-status|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/standards-status)"
            },
            "expression": [
              "CodeSystem/standards-status: CodeSystem"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-strand-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-strand-type",
        "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 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/strand-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/4.0/CodeSystem/strand-type vs http://hl7.org/fhir/strand-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-strand-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/structure-definition-kind vs http://hl7.org/fhir/structure-definition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-structure-definition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-study-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-study-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-subscriber-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscriber-relationship"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/subscription-channel-type vs http://hl7.org/fhir/subscription-channel-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-subscription-channel-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/subscription-status vs http://hl7.org/fhir/subscription-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-subscription-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-subscription-tag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-tag"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-substance-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/substance-status vs http://hl7.org/fhir/substance-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-substance-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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/4.0/CodeSystem/summary vs http://hl7.org/fhir/CodeSystem/summary"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-summary"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/supplydelivery-status vs http://hl7.org/fhir/supplydelivery-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-supplydelivery-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-supplydelivery-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplydelivery-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/supplydelivery-type vs http://terminology.hl7.org/CodeSystem/supply-item-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-supplydelivery-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-supplyrequest-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/supplyrequest-kind vs http://terminology.hl7.org/CodeSystem/supply-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-supplyrequest-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-supplyrequest-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/supplyrequest-status vs http://hl7.org/fhir/supplyrequest-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-supplyrequest-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-surface",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-surface",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/surface vs http://terminology.hl7.org/CodeSystem/FDI-surface"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-surface"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-synthesis-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-synthesis-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-task-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-task-code",
        "issue": [
          {
            "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": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/task-code: CodeSystem"
            ]
          },
          {
            "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": "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-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/4.0/CodeSystem/task-code vs http://hl7.org/fhir/CodeSystem/task-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-task-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-task-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-task-intent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-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/4.0/CodeSystem/task-intent vs http://hl7.org/fhir/task-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-task-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/task-status vs http://hl7.org/fhir/task-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-task-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/teeth vs http://hl7.org/fhir/ex-fdi"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-teeth"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-testscript-operation-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-operation-codes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-testscript-profile-destination-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-profile-destination-types"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-testscript-profile-origin-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-profile-origin-types"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-tldc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-tldc",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/tldc vs urn:oid:2.16.840.1.113883.3.1937.98.5.8"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-tldc"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-tooth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-tooth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/tooth vs http://terminology.hl7.org/CodeSystem/ex-tooth"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-tooth"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/transaction-mode vs http://hl7.org/fhir/transaction-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-transaction-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-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/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/4.0/CodeSystem/trigger-type vs http://hl7.org/fhir/trigger-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-trigger-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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": [
              "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/4.0/CodeSystem/type-derivation-rule vs http://hl7.org/fhir/type-derivation-rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-type-derivation-rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/udi-entry-type vs http://hl7.org/fhir/udi-entry-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-udi-entry-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/udi vs http://hl7.org/fhir/ex-udi"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-udi"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 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 '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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/unknown-content-code vs http://hl7.org/fhir/unknown-content-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-unknown-content-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-usage-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-usage-context-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4458
              },
              {
                "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/v2-0001: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 9424
              },
              {
                "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/v2-0002: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 9424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 9424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 227543
              },
              {
                "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/v2-0003: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 227543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 227543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5997
              },
              {
                "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/v2-0004: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5225
              },
              {
                "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/v2-0007: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6214
              },
              {
                "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/v2-0008: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10160
              },
              {
                "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/v2-0009: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 10160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 10160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4694
              },
              {
                "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/v2-0012: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0012: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4125
              },
              {
                "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/v2-0017: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10464
              },
              {
                "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/v2-0023: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 10464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 10464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4687
              },
              {
                "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/v2-0027: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 21459
              },
              {
                "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/v2-0033: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 21459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 21459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4380
              },
              {
                "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/v2-0034: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6815
              },
              {
                "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/v2-0038: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 39708
              },
              {
                "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/v2-0043: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 39708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 39708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 31609
              },
              {
                "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/v2-0048: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 31609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 31609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2966
              },
              {
                "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/v2-0052: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4251
              },
              {
                "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/v2-0061: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4367
              },
              {
                "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/v2-0062: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 16786
              },
              {
                "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/v2-0063: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 16786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 16786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8520
              },
              {
                "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/v2-0065: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 8520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 8520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10552
              },
              {
                "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/v2-0066: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 10552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 10552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4213
              },
              {
                "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/v2-0069: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 93788
              },
              {
                "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/v2-0070: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 93788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 93788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 27081
              },
              {
                "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/v2-0074: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 27081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 27081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 83512
              },
              {
                "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/v2-0076: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 83512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 83512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 28712
              },
              {
                "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/v2-0078: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 28712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 28712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5431
              },
              {
                "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/v2-0080: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2248
              },
              {
                "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/v2-0083: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 13004
              },
              {
                "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/v2-0085: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 13004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 13004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2678
              },
              {
                "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/v2-0091: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0091: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2243
              },
              {
                "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/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": 2243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2500
              },
              {
                "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/v2-0098: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4437
              },
              {
                "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/v2-0100: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4796
              },
              {
                "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/v2-0102: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3652
              },
              {
                "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/v2-0103: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 9771
              },
              {
                "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/v2-0104: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 9771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 9771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3583
              },
              {
                "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/v2-0105: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5504
              },
              {
                "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/v2-0106: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4658
              },
              {
                "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/v2-0107: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6060
              },
              {
                "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/v2-0108: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4358
              },
              {
                "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/v2-0109: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4496
              },
              {
                "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/v2-0116: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0116: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 30522
              },
              {
                "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/v2-0119: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 30522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 30522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5089
              },
              {
                "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/v2-0121: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5448
              },
              {
                "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/v2-0122: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 9837
              },
              {
                "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/v2-0123: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 9837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 9837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4222
              },
              {
                "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/v2-0124: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 4222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4081
              },
              {
                "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/v2-0126: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 4081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5864
              },
              {
                "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/v2-0127: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3568
              },
              {
                "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/v2-0128: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2794
              },
              {
                "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/v2-0130: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10173
              },
              {
                "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/v2-0131: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 10173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 10173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 9331
              },
              {
                "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/v2-0133: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 9331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 9331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3125
              },
              {
                "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/v2-0135: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2592
              },
              {
                "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/v2-0136: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0136: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4135
              },
              {
                "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/v2-0137: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 4135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5527
              },
              {
                "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/v2-0140: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6922
              },
              {
                "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": 13400
              },
              {
                "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/v2-0141: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 13400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 13400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2526
              },
              {
                "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/v2-0142: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0142: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5429
              },
              {
                "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/v2-0144: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4866
              },
              {
                "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/v2-0145: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4077
              },
              {
                "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/v2-0146: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4043
              },
              {
                "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/v2-0147: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2760
              },
              {
                "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/v2-0148: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0148: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2907
              },
              {
                "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/v2-0149: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3343
              },
              {
                "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/v2-0150: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 34683
              },
              {
                "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/v2-0153: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 34683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 34683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3848
              },
              {
                "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/v2-0155: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8772
              },
              {
                "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/v2-0156: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 8772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 8772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7850
              },
              {
                "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/v2-0157: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 7850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6496
              },
              {
                "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/v2-0158: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3137
              },
              {
                "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/v2-0159: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4185
              },
              {
                "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/v2-0160: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3665
              },
              {
                "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/v2-0161: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 23466
              },
              {
                "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/v2-0162: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 23466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 23466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 33052
              },
              {
                "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/v2-0163: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 33052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 33052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6042
              },
              {
                "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/v2-0164: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8671
              },
              {
                "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/v2-0165: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 8671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 8671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2658
              },
              {
                "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/v2-0166: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7719
              },
              {
                "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/v2-0167: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 7719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 7719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5963
              },
              {
                "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/v2-0168: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2856
              },
              {
                "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/v2-0169: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0169: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3403
              },
              {
                "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/v2-0170: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2726
              },
              {
                "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/v2-0173: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0173: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7323
              },
              {
                "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/v2-0174: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 7323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 7323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 17514
              },
              {
                "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/v2-0175: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 17514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 17514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6890
              },
              {
                "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/v2-0177: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3400
              },
              {
                "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/v2-0178: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5434
              },
              {
                "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/v2-0179: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4885
              },
              {
                "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/v2-0180: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3284
              },
              {
                "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/v2-0181: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2800
              },
              {
                "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/v2-0183: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4864
              },
              {
                "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/v2-0185: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2896
              },
              {
                "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/v2-0187: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0187: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2570
              },
              {
                "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/v2-0189: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 11055
              },
              {
                "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/v2-0190: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 11055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 11055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 11530
              },
              {
                "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/v2-0191: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 11530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 11530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3584
              },
              {
                "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/v2-0193: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 15305
              },
              {
                "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/v2-0200: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 15305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 15305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6280
              },
              {
                "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/v2-0201: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6390
              },
              {
                "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/v2-0202: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 52143
              },
              {
                "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/v2-0203: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 52143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 52143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3742
              },
              {
                "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/v2-0204: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4349
              },
              {
                "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/v2-0205: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3676
              },
              {
                "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/v2-0206: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3525
              },
              {
                "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/v2-0207: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0207: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3422
              },
              {
                "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/v2-0208: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0208: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4076
              },
              {
                "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/v2-0209: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2170
              },
              {
                "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/v2-0210: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2170
              },
              {
                "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 16197
              },
              {
                "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/v2-0211: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 16197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 16197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3376
              },
              {
                "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/v2-0213: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3233
              },
              {
                "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/v2-0214: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0214: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2796
              },
              {
                "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/v2-0215: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2278
              },
              {
                "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/v2-0216: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2484
              },
              {
                "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/v2-0217: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3815
              },
              {
                "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/v2-0220: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6176
              },
              {
                "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/v2-0223: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2502
              },
              {
                "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/v2-0224: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2492
              },
              {
                "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/v2-0225: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0225: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 32947
              },
              {
                "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/v2-0227: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 32947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 32947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6036
              },
              {
                "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/v2-0228: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5379
              },
              {
                "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/v2-0229: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4156
              },
              {
                "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/v2-0230: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2560
              },
              {
                "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/v2-0231: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2687
              },
              {
                "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/v2-0232: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4803
              },
              {
                "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/v2-0234: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4916
              },
              {
                "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/v2-0235: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2922
              },
              {
                "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/v2-0236: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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.caseSensitive 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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4196
              },
              {
                "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/v2-0237: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2928
              },
              {
                "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/v2-0238: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0238: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2908
              },
              {
                "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/v2-0239: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5014
              },
              {
                "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/v2-0240: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3750
              },
              {
                "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/v2-0241: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0241: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4288
              },
              {
                "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/v2-0242: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2968
              },
              {
                "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/v2-0243: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6464
              },
              {
                "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/v2-0247: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3588
              },
              {
                "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/v2-0248: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3256
              },
              {
                "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/v2-0250: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3829
              },
              {
                "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/v2-0251: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6417
              },
              {
                "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/v2-0252: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3106
              },
              {
                "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/v2-0253: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 35338
              },
              {
                "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/v2-0254: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 35338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 35338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 9764
              },
              {
                "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/v2-0255: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 9764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 9764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 17365
              },
              {
                "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/v2-0256: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 17365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 17365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3397
              },
              {
                "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/v2-0257: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2701
              },
              {
                "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/v2-0258: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 16874
              },
              {
                "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/v2-0259: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 16874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 16874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3984
              },
              {
                "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/v2-0260: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4128
              },
              {
                "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/v2-0261: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3564
              },
              {
                "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/v2-0262: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3682
              },
              {
                "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/v2-0263: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0263: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10052
              },
              {
                "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/v2-0265: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 10052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 10052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3656
              },
              {
                "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/v2-0267: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 3656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2594
              },
              {
                "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/v2-0268: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2292
              },
              {
                "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/v2-0269: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6422
              },
              {
                "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/v2-0270: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5205
              },
              {
                "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/v2-0271: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7032
              },
              {
                "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/v2-0272: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 7032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 7032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3992
              },
              {
                "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/v2-0273: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0273: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3768
              },
              {
                "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/v2-0275: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3786
              },
              {
                "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/v2-0276: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3594
              },
              {
                "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/v2-0277: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6516
              },
              {
                "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/v2-0278: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3926
              },
              {
                "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/v2-0279: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2446
              },
              {
                "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/v2-0280: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3267
              },
              {
                "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/v2-0281: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3010
              },
              {
                "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/v2-0282: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2768
              },
              {
                "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/v2-0283: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2798
              },
              {
                "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/v2-0284: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0284: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3000
              },
              {
                "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/v2-0286: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5015
              },
              {
                "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/v2-0287: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 32989
              },
              {
                "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/v2-0290: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 32989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 32989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10140
              },
              {
                "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/v2-0291: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 10140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 10140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 68141
              },
              {
                "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/v2-0292: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 68141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 68141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7512
              },
              {
                "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/v2-0294: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 7512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 7512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3134
              },
              {
                "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/v2-0298: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 3134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4671
              },
              {
                "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/v2-0299: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 13935
              },
              {
                "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/v2-0301: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 13935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 13935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4888
              },
              {
                "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/v2-0305: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2939
              },
              {
                "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/v2-0309: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0309: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3638
              },
              {
                "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/v2-0311: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3796
              },
              {
                "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/v2-0315: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4900
              },
              {
                "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/v2-0316: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 4900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2259
              },
              {
                "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/v2-0317: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2885
              },
              {
                "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/v2-0321: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2872
              },
              {
                "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/v2-0322: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4922
              },
              {
                "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/v2-0323: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6228
              },
              {
                "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/v2-0324: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4045
              },
              {
                "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/v2-0325: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2914
              },
              {
                "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/v2-0326: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2280
              },
              {
                "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/v2-0329: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3607
              },
              {
                "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/v2-0330: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2888
              },
              {
                "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/v2-0331: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0331: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2202
              },
              {
                "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/v2-0332: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3521
              },
              {
                "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/v2-0334: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 13172
              },
              {
                "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/v2-0335: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 13172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 13172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/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/v2-0336: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0336: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2236
              },
              {
                "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/v2-0337: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5702
              },
              {
                "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/v2-0338: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3225
              },
              {
                "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/v2-0339: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 10380
              },
              {
                "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/v2-0344: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 10380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 10380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 33411
              },
              {
                "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/v2-0350: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 33411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 33411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7600
              },
              {
                "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/v2-0351: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 7600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 7600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 125022
              },
              {
                "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/v2-0354: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 125022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 125022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 125022
              },
              {
                "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2628
              },
              {
                "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/v2-0355: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3808
              },
              {
                "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/v2-0356: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 9841
              },
              {
                "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/v2-0357: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 9841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 9841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6631
              },
              {
                "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/v2-0359: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 14504
              },
              {
                "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/v2-0363: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 14504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 14504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4242
              },
              {
                "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/v2-0364: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 9119
              },
              {
                "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/v2-0365: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 9119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 9119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4676
              },
              {
                "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/v2-0366: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5264
              },
              {
                "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/v2-0367: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8379
              },
              {
                "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/v2-0368: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 8379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 8379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7180
              },
              {
                "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/v2-0369: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 7180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 7180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4231
              },
              {
                "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/v2-0370: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 11373
              },
              {
                "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/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": 11373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 11373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 11373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2874
              },
              {
                "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/v2-0372: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2731
              },
              {
                "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/v2-0373: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2078
              },
              {
                "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/v2-0374: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1916
              },
              {
                "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/v2-0375: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4160
              },
              {
                "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/v2-0376: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2052
              },
              {
                "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/v2-0377: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5143
              },
              {
                "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/v2-0383: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3535
              },
              {
                "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/v2-0384: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 3535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4051
              },
              {
                "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/v2-0387: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2240
              },
              {
                "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/v2-0388: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2184
              },
              {
                "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/v2-0389: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3054
              },
              {
                "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/v2-0392: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2530
              },
              {
                "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/v2-0393: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2808
              },
              {
                "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/v2-0394: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2276
              },
              {
                "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/v2-0395: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 113273
              },
              {
                "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/v2-0396: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 113273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 113273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3224
              },
              {
                "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/v2-0397: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2290
              },
              {
                "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/v2-0398: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2229
              },
              {
                "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/v2-0401: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2466
              },
              {
                "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/v2-0402: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3034
              },
              {
                "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/v2-0403: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3358
              },
              {
                "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/v2-0404: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3720
              },
              {
                "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/v2-0406: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0406: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2574
              },
              {
                "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/v2-0409: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 15644
              },
              {
                "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/v2-0411: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 15644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 15644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1850
              },
              {
                "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/v2-0415: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3208
              },
              {
                "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/v2-0416: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3546
              },
              {
                "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/v2-0417: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4995
              },
              {
                "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/v2-0418: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4995
              },
              {
                "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[4]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2487
              },
              {
                "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/v2-0421: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3375
              },
              {
                "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/v2-0422: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1737
              },
              {
                "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/v2-0423: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2544
              },
              {
                "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/v2-0424: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4010
              },
              {
                "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/v2-0425: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4012
              },
              {
                "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/v2-0426: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3935
              },
              {
                "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/v2-0427: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2504
              },
              {
                "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/v2-0428: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4909
              },
              {
                "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/v2-0429: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 4909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4979
              },
              {
                "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/v2-0430: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4997
              },
              {
                "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/v2-0431: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4371
              },
              {
                "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/v2-0432: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5466
              },
              {
                "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/v2-0433: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0433: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4470
              },
              {
                "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/v2-0434: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2276
              },
              {
                "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/v2-0435: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3741
              },
              {
                "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/v2-0436: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3000
              },
              {
                "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/v2-0437: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3808
              },
              {
                "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/v2-0438: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 37438
              },
              {
                "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/v2-0440: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 37438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 37438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3173
              },
              {
                "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/v2-0441: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2142
              },
              {
                "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/v2-0442: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 13149
              },
              {
                "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/v2-0443: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 13149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 13149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2940
              },
              {
                "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/v2-0444: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2292
              },
              {
                "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/v2-0445: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1844
              },
              {
                "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/v2-0450: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4572
              },
              {
                "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/v2-0455: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0455: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6948
              },
              {
                "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/v2-0456: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2780
              },
              {
                "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/v2-0457: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0457: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2500
              },
              {
                "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/v2-0459: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2310
              },
              {
                "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/v2-0460: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2386
              },
              {
                "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/v2-0465: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3302
              },
              {
                "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/v2-0466: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2818
              },
              {
                "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/v2-0468: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3150
              },
              {
                "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/v2-0469: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3194
              },
              {
                "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/v2-0470: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2524
              },
              {
                "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/v2-0472: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3510
              },
              {
                "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/v2-0473: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5225
              },
              {
                "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/v2-0474: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3181
              },
              {
                "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/v2-0475: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2411
              },
              {
                "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/v2-0477: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0477: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3588
              },
              {
                "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/v2-0478: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2058
              },
              {
                "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/v2-0480: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2260
              },
              {
                "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/v2-0482: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4602
              },
              {
                "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/v2-0483: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2908
              },
              {
                "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/v2-0484: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6482
              },
              {
                "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/v2-0485: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 81980
              },
              {
                "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/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": 81980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 81980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 81980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8087
              },
              {
                "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/v2-0488: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 8087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 8087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3118
              },
              {
                "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/v2-0489: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3632
              },
              {
                "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/v2-0490: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0490: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2062
              },
              {
                "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/v2-0491: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3729
              },
              {
                "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/v2-0492: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2962
              },
              {
                "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/v2-0493: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2010
              },
              {
                "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/v2-0494: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4019
              },
              {
                "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/v2-0495: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 23995
              },
              {
                "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/v2-0496: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 23995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 23995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2482
              },
              {
                "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/v2-0497: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4252
              },
              {
                "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/v2-0498: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2263
              },
              {
                "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/v2-0499: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2618
              },
              {
                "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/v2-0500: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0500: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2574
              },
              {
                "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/v2-0501: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2718
              },
              {
                "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/v2-0502: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2002
              },
              {
                "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/v2-0503: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2542
              },
              {
                "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/v2-0504: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2802
              },
              {
                "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/v2-0505: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2262
              },
              {
                "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/v2-0506: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2355
              },
              {
                "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/v2-0507: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3127
              },
              {
                "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/v2-0508: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3775
              },
              {
                "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/v2-0510: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2820
              },
              {
                "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/v2-0511: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2820
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2537
              },
              {
                "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/v2-0513: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5500
              },
              {
                "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/v2-0514: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2611
              },
              {
                "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/v2-0516: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2172
              },
              {
                "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/v2-0517: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2038
              },
              {
                "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/v2-0518: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1952
              },
              {
                "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/v2-0520: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2298
              },
              {
                "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/v2-0523: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3991
              },
              {
                "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/v2-0524: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4200
              },
              {
                "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/v2-0527: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5133
              },
              {
                "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/v2-0528: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5778
              },
              {
                "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/v2-0529: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2478
              },
              {
                "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/v2-0530: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3727
              },
              {
                "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/v2-0534: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 3727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2856
              },
              {
                "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/v2-0535: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0535: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2933
              },
              {
                "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/v2-0536: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2365
              },
              {
                "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/v2-0538: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2512
              },
              {
                "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/v2-0540: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8286
              },
              {
                "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/v2-0544: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 8286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 8286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2351
              },
              {
                "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/v2-0547: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3074
              },
              {
                "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/v2-0548: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 3074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 72297
              },
              {
                "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/v2-0550: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 72297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 72297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4429
              },
              {
                "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/v2-0553: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2054
              },
              {
                "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/v2-0554: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2886
              },
              {
                "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/v2-0555: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1851
              },
              {
                "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/v2-0556: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2125
              },
              {
                "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/v2-0557: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2136
              },
              {
                "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/v2-0558: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1968
              },
              {
                "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/v2-0559: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2717
              },
              {
                "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/v2-0561: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2661
              },
              {
                "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/v2-0562: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2194
              },
              {
                "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/v2-0564: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2370
              },
              {
                "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/v2-0565: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2560
              },
              {
                "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/v2-0566: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2012
              },
              {
                "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/v2-0569: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3204
              },
              {
                "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/v2-0570: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0570: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3065
              },
              {
                "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/v2-0571: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1914
              },
              {
                "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/v2-0572: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1986
              },
              {
                "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/v2-0615: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2114
              },
              {
                "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/v2-0616: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1956
              },
              {
                "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/v2-0617: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2037
              },
              {
                "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/v2-0618: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1972
              },
              {
                "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/v2-0625: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1721
              },
              {
                "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/v2-0634: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1962
              },
              {
                "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/v2-0642: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1840
              },
              {
                "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/v2-0651: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2322
              },
              {
                "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/v2-0653: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1994
              },
              {
                "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/v2-0657: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2328
              },
              {
                "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/v2-0659: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0659: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1864
              },
              {
                "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/v2-0667: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2152
              },
              {
                "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/v2-0669: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1822
              },
              {
                "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/v2-0682: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6072
              },
              {
                "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/v2-0702: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3560
              },
              {
                "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/v2-0717: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0717: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5481
              },
              {
                "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/v2-0719: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4363
              },
              {
                "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/v2-0725: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2194
              },
              {
                "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/v2-0728: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2350
              },
              {
                "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/v2-0731: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0731: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3276
              },
              {
                "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/v2-0734: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2026
              },
              {
                "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/v2-0739: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2985
              },
              {
                "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/v2-0742: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2306
              },
              {
                "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/v2-0749: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2197
              },
              {
                "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/v2-0755: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 2197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2164
              },
              {
                "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/v2-0757: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2424
              },
              {
                "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/v2-0759: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2312
              },
              {
                "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/v2-0761: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0761: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2170
              },
              {
                "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/v2-0763: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1960
              },
              {
                "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/v2-0776: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2266
              },
              {
                "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/v2-0778: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0778: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1946
              },
              {
                "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/v2-0790: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1734
              },
              {
                "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/v2-0793: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2006
              },
              {
                "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/v2-0806: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2045
              },
              {
                "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/v2-0818: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2623
              },
              {
                "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/v2-0834: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2284
              },
              {
                "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/v2-0868: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3710
              },
              {
                "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/v2-0871: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0871: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1996
              },
              {
                "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/v2-0881: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1877
              },
              {
                "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/v2-0882: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1810
              },
              {
                "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/v2-0894: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1810
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1810
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5814
              },
              {
                "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/v2-0895: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2062
              },
              {
                "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/v2-0904: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2394
              },
              {
                "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/v2-0905: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0905: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6237
              },
              {
                "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/v2-0906: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 6237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 6237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7058
              },
              {
                "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/v2-0907: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 7058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 7058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3973
              },
              {
                "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/v2-0909: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8805
              },
              {
                "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/v2-0912: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 8805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 8805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2276
              },
              {
                "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/v2-0914: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4085
              },
              {
                "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/v2-0916: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1826
              },
              {
                "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/v2-0917: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1965
              },
              {
                "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/v2-0918: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2276
              },
              {
                "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/v2-0919: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1874
              },
              {
                "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/v2-0920: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1998
              },
              {
                "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/v2-0921: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2049
              },
              {
                "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/v2-0922: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2358
              },
              {
                "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/v2-0923: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0923: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2404
              },
              {
                "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/v2-0924: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3910
              },
              {
                "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/v2-0925: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2036
              },
              {
                "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/v2-0926: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 2036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 2036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 1948
              },
              {
                "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/v2-0927: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 1948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 1948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3560
              },
              {
                "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/v2-0933: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 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.caseSensitive 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": 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/v2-0933: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 3124
              },
              {
                "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/v2-0935: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 3124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 3124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5917
              },
              {
                "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/v2-2.1-0006: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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/4.0/CodeSystem/v2-2.1-0006 vs http://terminology.hl7.org/CodeSystem/v2-0006|2.1"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-v2-2.1-0006"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 24162
              },
              {
                "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/v2-2.3.1-0360: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 24162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 24162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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/4.0/CodeSystem/v2-2.3.1-0360 vs http://terminology.hl7.org/CodeSystem/v2-0360|2.3.1"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-v2-2.3.1-0360"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 18202
              },
              {
                "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/v2-2.4-0006: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 18202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 18202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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/4.0/CodeSystem/v2-2.4-0006 vs http://terminology.hl7.org/CodeSystem/v2-0006|2.4"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-v2-2.4-0006"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 5582
              },
              {
                "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/v2-2.4-0391: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 5582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 5582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5582
              },
              {
                "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/4.0/CodeSystem/v2-2.4-0391 vs http://terminology.hl7.org/CodeSystem/v2-0391|2.4"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-v2-2.4-0391"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 24341
              },
              {
                "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/v2-2.6-0391: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 24341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 24341
              },
              {
                "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": 24341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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/4.0/CodeSystem/v2-2.6-0391 vs http://terminology.hl7.org/CodeSystem/v2-0391|2.6"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-v2-2.6-0391"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 11634
              },
              {
                "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/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": 11634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/v2-2.7-0360: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 11634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 11634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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/4.0/CodeSystem/v2-2.7-0360 vs http://terminology.hl7.org/CodeSystem/v2-0360|2.7"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-v2-2.7-0360"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 4825
              },
              {
                "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/v2-4000: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/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": 4825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 4825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-AcknowledgementCondition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AcknowledgementCondition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-AcknowledgementDetailCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AcknowledgementDetailCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailCode has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailCode|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailCode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 6507
              },
              {
                "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": 6507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-AcknowledgementType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AcknowledgementType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 182545
              },
              {
                "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": 182545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 846024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/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": 846024
              },
              {
                "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": 846024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActExposureLevelCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActExposureLevelCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_IncludeDetails"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-ActExposureLevelCode has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-ActExposureLevelCode|3.0.0, but the include has extra details"
            },
            "expression": [
              "CodeSystem/v3-ActExposureLevelCode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActInvoiceElementModifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActInvoiceElementModifier"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActMood",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActMood"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 7982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: 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://terminology.hl7.org/CodeSystem/v3-ActPriority has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 182138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/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": 182138
              },
              {
                "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": 182138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActRelationshipCheckpoint",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipCheckpoint"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActRelationshipJoin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipJoin"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActRelationshipSplit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipSplit"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActRelationshipSubset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipSubset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 116887
              },
              {
                "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": 116887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActSite",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActSite"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActUSPrivacyLaw",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActUSPrivacyLaw",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_IncludeDetails"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0, but the include has extra details"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActUncertainty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActUncertainty"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 16876
              },
              {
                "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-AddressUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AddressUse"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 2762
              },
              {
                "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 'definition' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/designation-usage' version '4.2.0'"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem.concept[0].designation[1].use.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3086
              },
              {
                "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 'definition' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/designation-usage' version '4.2.0'"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem.concept[1].designation[1].use.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3521
              },
              {
                "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 'definition' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/designation-usage' version '4.2.0'"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem.concept[2].designation[1].use.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-AmericanIndianAlaskaNativeLanguages",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AmericanIndianAlaskaNativeLanguages",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-AmericanIndianAlaskaNativeLanguages|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-AmericanIndianAlaskaNativeLanguages: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Calendar",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Calendar"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CalendarCycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CalendarCycle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-CalendarCycle has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-CalendarCycle|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CalendarType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CalendarType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Charset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Charset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CodingRationale",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CodingRationale"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CommunicationFunctionType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CommunicationFunctionType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CompressionAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CompressionAlgorithm"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Confidentiality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Confidentiality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_IncludeDetails"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-Confidentiality has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-Confidentiality|3.0.0, but the include has extra details"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ContainerCap",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContainerCap",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-ContainerCap has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-ContainerCap|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-ContainerCap: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ContainerSeparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContainerSeparator"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ContentProcessingMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContentProcessingMode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ContextControl",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContextControl"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-DataOperation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DataOperation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Dentition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Dentition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-Dentition has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-Dentition|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-Dentition: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-DeviceAlertLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DeviceAlertLevel"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-DocumentCompletion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DocumentCompletion"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-DocumentStorage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DocumentStorage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-DocumentStorage has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-DocumentStorage|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-DocumentStorage: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EducationLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EducationLevel"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EmployeeJobClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EmployeeJobClass"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EncounterAdmissionSource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EncounterAdmissionSource"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EncounterSpecialCourtesy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EncounterSpecialCourtesy"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityClass"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-EntityCode has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-EntityCode|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-EntityCode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityDeterminer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityDeterminer"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityHandling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityHandling"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartQualifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartQualifier"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartQualifierR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartQualifierR2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartTypeR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartTypeR2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNameUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNameUse"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNameUseR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNameUseR2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityRisk",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-EntityRisk has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-EntityRisk|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-EntityRisk: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EquipmentAlertLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EquipmentAlertLevel"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Ethnicity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Ethnicity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-Ethnicity has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-Ethnicity|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-Ethnicity: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ExposureMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ExposureMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_IncludeDetails"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-ExposureMode has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-ExposureMode|3.0.0, but the include has extra details"
            },
            "expression": [
              "CodeSystem/v3-ExposureMode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-GTSAbbreviation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-GTSAbbreviation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-GTSAbbreviation|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-GenderStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-GenderStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HL7ContextConductionStyle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7ContextConductionStyle"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HL7StandardVersionCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7StandardVersionCode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HL7UpdateMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7UpdateMode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HtmlLinkType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HtmlLinkType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-IdentifierReliability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IdentifierReliability"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-IdentifierScope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IdentifierScope"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-IntegrityCheckAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IntegrityCheckAlgorithm"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LanguageAbilityMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LanguageAbilityMode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LanguageAbilityProficiency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LanguageAbilityProficiency"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LivingArrangement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LivingArrangement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-LivingArrangement has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-LivingArrangement|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-LivingArrangement: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LocalMarkupIgnore",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LocalMarkupIgnore"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LocalRemoteControlState",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LocalRemoteControlState"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ManagedParticipationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ManagedParticipationStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-MapRelationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MapRelationship"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-MaritalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MaritalStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-MessageWaitingPriority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MessageWaitingPriority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_IncludeDetails"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-MessageWaitingPriority has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-MessageWaitingPriority|3.0.0, but the include has extra details"
            },
            "expression": [
              "CodeSystem/v3-MessageWaitingPriority: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ModifyIndicator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ModifyIndicator"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-NullFlavor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-NullFlavor"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ObservationCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationCategory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ObservationInterpretation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationInterpretation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ObservationMethod",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationMethod",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-ObservationMethod has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-ObservationMethod|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-ObservationMethod: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ObservationValue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationValue"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ParticipationFunction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationFunction"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 8727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: 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://terminology.hl7.org/CodeSystem/v3-ParticipationMode has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ParticipationSignature",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationSignature"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ParticipationType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-PatientImportance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PatientImportance"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-PaymentTerms",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PaymentTerms"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-PersonDisabilityType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PersonDisabilityType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-PersonDisabilityType has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-PersonDisabilityType|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-PersonDisabilityType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ProbabilityDistributionType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProbabilityDistributionType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ProcessingID",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProcessingID"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ProcessingMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProcessingMode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryParameterValue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryParameterValue"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryPriority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryPriority"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryRequestLimit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryRequestLimit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_IncludeDetails"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-QueryRequestLimit has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-QueryRequestLimit|3.0.0, but the include has extra details"
            },
            "expression": [
              "CodeSystem/v3-QueryRequestLimit: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryResponse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryResponse"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryStatusCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryStatusCode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Race",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Race",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-Race has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-Race|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-Race: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RelationalOperator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RelationalOperator"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RelationshipConjunction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RelationshipConjunction"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ReligiousAffiliation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ReligiousAffiliation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ResponseLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseLevel"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ResponseModality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseModality"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ResponseMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseMode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RoleClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleClass"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/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": 225415
              },
              {
                "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": 225415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RoleLinkStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleLinkStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RoleLinkType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleLinkType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RoleStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RouteOfAdministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RouteOfAdministration",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Sequencing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Sequencing"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-SetOperator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SetOperator"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-SpecimenType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SpecimenType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-SubstitutionCondition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SubstitutionCondition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/v3-SubstitutionCondition has an 'all system' value set of http://terminology.hl7.org/ValueSet/v3-SubstitutionCondition|3.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/v3-SubstitutionCondition: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableCellHorizontalAlign",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellHorizontalAlign"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableCellScope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellScope"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableCellVerticalAlign",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellVerticalAlign"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableFrame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableFrame"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableRules",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableRules"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TargetAwareness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TargetAwareness"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TelecommunicationCapabilities",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TelecommunicationCapabilities"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TimingEvent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TimingEvent"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TransmissionRelationshipTypeCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TransmissionRelationshipTypeCode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TribalEntityUS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TribalEntityUS"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-VaccineManufacturer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-VaccineManufacturer"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-WorkClassificationODH",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-WorkClassificationODH"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7ApprovalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7ApprovalStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7CMETAttribution",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7CMETAttribution"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7ITSType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7ITSType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7ITSVersionCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7ITSVersionCode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7PublishingDomain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7PublishingDomain"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7PublishingSection",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7PublishingSection"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7PublishingSubSection",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7PublishingSubSection"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7Realm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7Realm"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7V3Conformance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7V3Conformance"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7VoteResolution",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7VoteResolution"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-orderableDrugForm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-orderableDrugForm"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-policyHolderRole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-policyHolderRole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_COMPLETE_AND_EMPTY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "When a CodeSystem has content = 'complete', it doesnt make sense for there to be no concepts defined"
            },
            "expression": [
              "CodeSystem/v3-policyHolderRole: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-styleType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-styleType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-substanceAdminSubstitution",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-substanceAdminSubstitution"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-triggerEventID",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-triggerEventID"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-variable-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-variable-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/variable-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/4.0/CodeSystem/variable-type vs http://hl7.org/fhir/variable-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-variable-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-variant-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-variant-state"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-can-push-updates",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-can-push-updates",
        "issue": [
          {
            "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": "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/verificationresult-can-push-updates: CodeSystem"
            ]
          },
          {
            "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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-can-push-updates: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/verificationresult-can-push-updates vs http://terminology.hl7.org/CodeSystem/can-push-updates"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-can-push-updates"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-communication-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-communication-method",
        "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": "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/verificationresult-communication-method: CodeSystem"
            ]
          },
          {
            "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_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/verificationresult-communication-method: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-failure-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-failure-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2948
              },
              {
                "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/verificationresult-failure-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-failure-action: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/verificationresult-failure-action vs http://terminology.hl7.org/CodeSystem/failure-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-failure-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-need",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-need",
        "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": "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/verificationresult-need: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/verificationresult-need vs http://terminology.hl7.org/CodeSystem/need"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-need"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-primary-source-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-primary-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": 3664
              },
              {
                "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/verificationresult-primary-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": 3664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-primary-source-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/4.0/CodeSystem/verificationresult-primary-source-type vs http://terminology.hl7.org/CodeSystem/primary-source-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-primary-source-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-push-type-available",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-push-type-available",
        "issue": [
          {
            "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": "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/verificationresult-push-type-available: CodeSystem"
            ]
          },
          {
            "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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-push-type-available: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/verificationresult-push-type-available vs http://terminology.hl7.org/CodeSystem/push-type-available"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-push-type-available"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-status",
        "issue": [
          {
            "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": "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/verificationresult-status: 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": "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/verificationresult-status: 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": "VALIDATION_HL7_WG_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the contact url should be 'http://www.hl7.org/Special/committees/pafm' but it was not found"
            },
            "expression": [
              "CodeSystem/verificationresult-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/CodeSystem/status has an 'all system' value set of http://hl7.org/fhir/ValueSet/verificationresult-status|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/verificationresult-status)"
            },
            "expression": [
              "CodeSystem/verificationresult-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/4.0/CodeSystem/verificationresult-status vs http://hl7.org/fhir/CodeSystem/status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-validation-process",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-validation-process",
        "issue": [
          {
            "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": "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/verificationresult-validation-process: 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/verificationresult-validation-process: CodeSystem.concept[0]"
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          },
          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/verificationresult-validation-process vs http://terminology.hl7.org/CodeSystem/validation-process"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-validation-process"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
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                "valueInteger": 1
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                "valueInteger": 3045
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              {
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            ],
            "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": [
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          {
            "extension": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3045
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-status: CodeSystem.concept[0]"
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          },
          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/verificationresult-validation-status vs http://terminology.hl7.org/CodeSystem/validation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-validation-status"
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    {
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            "code": "invariant",
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            "code": "business-rule",
            "details": {
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            "expression": [
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          },
          {
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-verificationresult-validation-type"
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          }
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                "valueInteger": 1
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "error",
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            },
            "expression": [
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    },
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              {
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                "valueInteger": 2374
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/vision-base-codes vs http://hl7.org/fhir/vision-base-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-vision-base-codes"
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          }
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    },
    {
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          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2058
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "CodeSystem/vision-eye-codes: CodeSystem"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-vision-eye-codes"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-vision-product",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/vision-product vs http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-vision-product"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-w3c-provenance-activity-type",
      "resource": {
        "resourceType": "OperationOutcome",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13905
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13905
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
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            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
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          {
            "extension": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/w3c-provenance-activity-type vs http://hl7.org/fhir/w3c-provenance-activity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r4b/input/vocabulary/CodeSystem-w3c-provenance-activity-type"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-FHIR-version-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-FHIR-version-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-abstract-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-abstract-types-for-R4B",
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2698
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-account-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "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"
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            ],
            "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/R4-account-status-for-R4B: ValueSet"
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-account-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-account-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-cardinality-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2931
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-action-cardinality-behavior-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-condition-kind-for-R4B",
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        "resourceType": "OperationOutcome",
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                "valueInteger": 2828
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "ValueSet/R4-action-condition-kind-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-grouping-behavior-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4279
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "ValueSet/R4-action-grouping-behavior-for-R4B: ValueSet"
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-participant-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-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/R4-action-participant-role-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-participant-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-action-participant-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-precheck-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-action-precheck-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-action-relationship-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-required-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-action-required-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-selection-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-action-selection-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-action-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-activity-definition-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-activity-definition-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-additional-instruction-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-additional-instruction-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-additionalmaterials-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-additionalmaterials-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-address-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-address-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-address-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-address-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adjudication-error-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-adjudication-error-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adjudication-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adjudication-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adjudication-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adjudication-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-administration-method-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-administration-method-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-administrative-gender-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-administrative-gender-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-actuality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-actuality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adverse-event-actuality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 7323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adverse-event-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-causality-assess-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-adverse-event-causality-assess-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-causality-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adverse-event-causality-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adverse-event-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-seriousness-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adverse-event-seriousness-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-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": 2808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adverse-event-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-adverse-event-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-age-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-age-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-all-distance-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-all-distance-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": 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": [
              "ValueSet/R4-all-distance-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-all-time-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-all-time-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": 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": [
              "ValueSet/R4-all-time-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-all-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 75969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-all-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allelename-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allelename-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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.ebi.ac.uk/ipd/imgt/hla'"
            },
            "expression": [
              "ValueSet/R4-allelename-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": 2180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-allelename-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.ebi.ac.uk/ipd/imgt/hla"
            },
            "expression": [
              "ValueSet.where(id = 'R4-allelename-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allerg-intol-substance-exp-risk-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-allerg-intol-substance-exp-risk-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergy-intolerance-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-allergy-intolerance-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergy-intolerance-criticality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-allergy-intolerance-criticality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergy-intolerance-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-allergy-intolerance-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergyintolerance-clinical-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergyintolerance-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": 3005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-allergyintolerance-clinical-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergyintolerance-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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/R4-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/R4-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/R4-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/R4-allergyintolerance-code-for-R4B: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergyintolerance-verification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergyintolerance-verification-for-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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-allergyintolerance-verification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-animal-breeds-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 310625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-animal-breeds-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": 183073
              },
              {
                "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 '2124007' is not valid in the system http://snomed.info/sct version 4.0.1 (2124007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183131
              },
              {
                "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 '3566006' is not valid in the system http://snomed.info/sct version 4.0.1 (3566006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183198
              },
              {
                "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 '4880003' is not valid in the system http://snomed.info/sct version 4.0.1 (4880003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183269
              },
              {
                "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 '5345000' is not valid in the system http://snomed.info/sct version 4.0.1 (5345000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183327
              },
              {
                "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 '6431001' is not valid in the system http://snomed.info/sct version 4.0.1 (6431001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183383
              },
              {
                "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 '9230001' is not valid in the system http://snomed.info/sct version 4.0.1 (9230001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183443
              },
              {
                "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 '11967001' is not valid in the system http://snomed.info/sct version 4.0.1 (11967001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183504
              },
              {
                "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 '16015002' is not valid in the system http://snomed.info/sct version 4.0.1 (16015002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183562
              },
              {
                "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 '23469003' is not valid in the system http://snomed.info/sct version 4.0.1 (23469003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183620
              },
              {
                "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 '25660007' is not valid in the system http://snomed.info/sct version 4.0.1 (25660007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 183681
              },
              {
                "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 '28360002' is not valid in the system http://snomed.info/sct version 4.0.1 (28360002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183738
              },
              {
                "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 '32145006' is not valid in the system http://snomed.info/sct version 4.0.1 (32145006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183797
              },
              {
                "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 '41706005' is not valid in the system http://snomed.info/sct version 4.0.1 (41706005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183854
              },
              {
                "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 '45690005' is not valid in the system http://snomed.info/sct version 4.0.1 (45690005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183915
              },
              {
                "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 '48697009' is not valid in the system http://snomed.info/sct version 4.0.1 (48697009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183976
              },
              {
                "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 '53360003' is not valid in the system http://snomed.info/sct version 4.0.1 (53360003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-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": 184032
              },
              {
                "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 '59210004' is not valid in the system http://snomed.info/sct version 4.0.1 (59210004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184089
              },
              {
                "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 '64591001' is not valid in the system http://snomed.info/sct version 4.0.1 (64591001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184146
              },
              {
                "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 '65492002' is not valid in the system http://snomed.info/sct version 4.0.1 (65492002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184206
              },
              {
                "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 '67515002' is not valid in the system http://snomed.info/sct version 4.0.1 (67515002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[19]"
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          {
            "extension": [
              {
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              {
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '72329005' is not valid in the system http://snomed.info/sct version 4.0.1 (72329005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[20]"
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '73191001' is not valid in the system http://snomed.info/sct version 4.0.1 (73191001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[21]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '79603002' is not valid in the system http://snomed.info/sct version 4.0.1 (79603002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[22]"
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '83842004' is not valid in the system http://snomed.info/sct version 4.0.1 (83842004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[23]"
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              {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '87962009' is not valid in the system http://snomed.info/sct version 4.0.1 (87962009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[24]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "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 '89708009' is not valid in the system http://snomed.info/sct version 4.0.1 (89708009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[25]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '112486002' is not valid in the system http://snomed.info/sct version 4.0.1 (112486002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[26]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '112496006' is not valid in the system http://snomed.info/sct version 4.0.1 (112496006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[27]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131608000' is not valid in the system http://snomed.info/sct version 4.0.1 (131608000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[28]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131610003' is not valid in the system http://snomed.info/sct version 4.0.1 (131610003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[29]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131612006' is not valid in the system http://snomed.info/sct version 4.0.1 (131612006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[30]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131614007' is not valid in the system http://snomed.info/sct version 4.0.1 (131614007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[31]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131616009' is not valid in the system http://snomed.info/sct version 4.0.1 (131616009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[32]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131618005' is not valid in the system http://snomed.info/sct version 4.0.1 (131618005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[33]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131620008' is not valid in the system http://snomed.info/sct version 4.0.1 (131620008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[34]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131622000' is not valid in the system http://snomed.info/sct version 4.0.1 (131622000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[35]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 185283
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131624004' is not valid in the system http://snomed.info/sct version 4.0.1 (131624004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[36]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 185344
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131626002' is not valid in the system http://snomed.info/sct version 4.0.1 (131626002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[37]"
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            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131628001' is not valid in the system http://snomed.info/sct version 4.0.1 (131628001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[38]"
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            "extension": [
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131630004' is not valid in the system http://snomed.info/sct version 4.0.1 (131630004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[39]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131632007' is not valid in the system http://snomed.info/sct version 4.0.1 (131632007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[40]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131634008' is not valid in the system http://snomed.info/sct version 4.0.1 (131634008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[41]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131636005' is not valid in the system http://snomed.info/sct version 4.0.1 (131636005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[42]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131638006' is not valid in the system http://snomed.info/sct version 4.0.1 (131638006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[43]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 185798
              },
              {
                "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 '131640001' is not valid in the system http://snomed.info/sct version 4.0.1 (131640001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[44]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 185864
              },
              {
                "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 '131642009' is not valid in the system http://snomed.info/sct version 4.0.1 (131642009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[45]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 185928
              },
              {
                "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 '131644005' is not valid in the system http://snomed.info/sct version 4.0.1 (131644005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[46]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 185990
              },
              {
                "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 '131646007' is not valid in the system http://snomed.info/sct version 4.0.1 (131646007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[47]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186052
              },
              {
                "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 '131648008' is not valid in the system http://snomed.info/sct version 4.0.1 (131648008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[48]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186114
              },
              {
                "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 '131650000' is not valid in the system http://snomed.info/sct version 4.0.1 (131650000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[49]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186183
              },
              {
                "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 '131652008' is not valid in the system http://snomed.info/sct version 4.0.1 (131652008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[50]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186253
              },
              {
                "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 '131654009' is not valid in the system http://snomed.info/sct version 4.0.1 (131654009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[51]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186313
              },
              {
                "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 '131656006' is not valid in the system http://snomed.info/sct version 4.0.1 (131656006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[52]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186384
              },
              {
                "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 '131658007' is not valid in the system http://snomed.info/sct version 4.0.1 (131658007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[53]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186455
              },
              {
                "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 '131660009' is not valid in the system http://snomed.info/sct version 4.0.1 (131660009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[54]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186518
              },
              {
                "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 '131662001' is not valid in the system http://snomed.info/sct version 4.0.1 (131662001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[55]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186589
              },
              {
                "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 '131664000' is not valid in the system http://snomed.info/sct version 4.0.1 (131664000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[56]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186661
              },
              {
                "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 '131666003' is not valid in the system http://snomed.info/sct version 4.0.1 (131666003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[57]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186723
              },
              {
                "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 '131668002' is not valid in the system http://snomed.info/sct version 4.0.1 (131668002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[58]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186783
              },
              {
                "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 '131670006' is not valid in the system http://snomed.info/sct version 4.0.1 (131670006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[59]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186845
              },
              {
                "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 '131672003' is not valid in the system http://snomed.info/sct version 4.0.1 (131672003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[60]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186917
              },
              {
                "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 '131674002' is not valid in the system http://snomed.info/sct version 4.0.1 (131674002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[61]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186982
              },
              {
                "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 '131676000' is not valid in the system http://snomed.info/sct version 4.0.1 (131676000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[62]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187052
              },
              {
                "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 '131678004' is not valid in the system http://snomed.info/sct version 4.0.1 (131678004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[63]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187115
              },
              {
                "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 '131680005' is not valid in the system http://snomed.info/sct version 4.0.1 (131680005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[64]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187189
              },
              {
                "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 '131682002' is not valid in the system http://snomed.info/sct version 4.0.1 (131682002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[65]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187259
              },
              {
                "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 '131684001' is not valid in the system http://snomed.info/sct version 4.0.1 (131684001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[66]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187327
              },
              {
                "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 '131686004' is not valid in the system http://snomed.info/sct version 4.0.1 (131686004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[67]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187401
              },
              {
                "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 '131688003' is not valid in the system http://snomed.info/sct version 4.0.1 (131688003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[68]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187489
              },
              {
                "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 '131690002' is not valid in the system http://snomed.info/sct version 4.0.1 (131690002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[69]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187561
              },
              {
                "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 '131692005' is not valid in the system http://snomed.info/sct version 4.0.1 (131692005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[70]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187627
              },
              {
                "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 '131694006' is not valid in the system http://snomed.info/sct version 4.0.1 (131694006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[71]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187693
              },
              {
                "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 '131696008' is not valid in the system http://snomed.info/sct version 4.0.1 (131696008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[72]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187767
              },
              {
                "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 '131698009' is not valid in the system http://snomed.info/sct version 4.0.1 (131698009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[73]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187836
              },
              {
                "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 '131700000' is not valid in the system http://snomed.info/sct version 4.0.1 (131700000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[74]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187915
              },
              {
                "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 '131702008' is not valid in the system http://snomed.info/sct version 4.0.1 (131702008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[75]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187978
              },
              {
                "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 '131704009' is not valid in the system http://snomed.info/sct version 4.0.1 (131704009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[76]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188055
              },
              {
                "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 '131706006' is not valid in the system http://snomed.info/sct version 4.0.1 (131706006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[77]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188125
              },
              {
                "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 '131708007' is not valid in the system http://snomed.info/sct version 4.0.1 (131708007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[78]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188186
              },
              {
                "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 '131710009' is not valid in the system http://snomed.info/sct version 4.0.1 (131710009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[79]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188250
              },
              {
                "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 '131712001' is not valid in the system http://snomed.info/sct version 4.0.1 (131712001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[80]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188324
              },
              {
                "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 '131714000' is not valid in the system http://snomed.info/sct version 4.0.1 (131714000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[81]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188401
              },
              {
                "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 '131716003' is not valid in the system http://snomed.info/sct version 4.0.1 (131716003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[82]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188468
              },
              {
                "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 '131718002' is not valid in the system http://snomed.info/sct version 4.0.1 (131718002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[83]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188536
              },
              {
                "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 '131720004' is not valid in the system http://snomed.info/sct version 4.0.1 (131720004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[84]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188604
              },
              {
                "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 '131722007' is not valid in the system http://snomed.info/sct version 4.0.1 (131722007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[85]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188666
              },
              {
                "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 '131724008' is not valid in the system http://snomed.info/sct version 4.0.1 (131724008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[86]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188745
              },
              {
                "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 '131726005' is not valid in the system http://snomed.info/sct version 4.0.1 (131726005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[87]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188830
              },
              {
                "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 '131728006' is not valid in the system http://snomed.info/sct version 4.0.1 (131728006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[88]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188894
              },
              {
                "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 '131730008' is not valid in the system http://snomed.info/sct version 4.0.1 (131730008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[89]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 188957
              },
              {
                "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 '131732000' is not valid in the system http://snomed.info/sct version 4.0.1 (131732000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[90]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189050
              },
              {
                "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 '131734004' is not valid in the system http://snomed.info/sct version 4.0.1 (131734004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[91]"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189126
              },
              {
                "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 '131736002' is not valid in the system http://snomed.info/sct version 4.0.1 (131736002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[92]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189187
              },
              {
                "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 '131738001' is not valid in the system http://snomed.info/sct version 4.0.1 (131738001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[93]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189261
              },
              {
                "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 '131740006' is not valid in the system http://snomed.info/sct version 4.0.1 (131740006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[94]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189324
              },
              {
                "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 '131742003' is not valid in the system http://snomed.info/sct version 4.0.1 (131742003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[95]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189391
              },
              {
                "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 '131744002' is not valid in the system http://snomed.info/sct version 4.0.1 (131744002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[96]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189457
              },
              {
                "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 '131746000' is not valid in the system http://snomed.info/sct version 4.0.1 (131746000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[97]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189520
              },
              {
                "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 '131748004' is not valid in the system http://snomed.info/sct version 4.0.1 (131748004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[98]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189586
              },
              {
                "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 '131750007' is not valid in the system http://snomed.info/sct version 4.0.1 (131750007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[99]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189650
              },
              {
                "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 '131752004' is not valid in the system http://snomed.info/sct version 4.0.1 (131752004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[100]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189711
              },
              {
                "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 '131754003' is not valid in the system http://snomed.info/sct version 4.0.1 (131754003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[101]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189774
              },
              {
                "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 '131756001' is not valid in the system http://snomed.info/sct version 4.0.1 (131756001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[102]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189836
              },
              {
                "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 '131758000' is not valid in the system http://snomed.info/sct version 4.0.1 (131758000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[103]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189897
              },
              {
                "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 '131760003' is not valid in the system http://snomed.info/sct version 4.0.1 (131760003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[104]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189965
              },
              {
                "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 '131762006' is not valid in the system http://snomed.info/sct version 4.0.1 (131762006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[105]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190031
              },
              {
                "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 '131764007' is not valid in the system http://snomed.info/sct version 4.0.1 (131764007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[106]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190096
              },
              {
                "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 '131766009' is not valid in the system http://snomed.info/sct version 4.0.1 (131766009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[107]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190161
              },
              {
                "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 '131768005' is not valid in the system http://snomed.info/sct version 4.0.1 (131768005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[108]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190227
              },
              {
                "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 '131770001' is not valid in the system http://snomed.info/sct version 4.0.1 (131770001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[109]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190292
              },
              {
                "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 '131772009' is not valid in the system http://snomed.info/sct version 4.0.1 (131772009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[110]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190358
              },
              {
                "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 '131774005' is not valid in the system http://snomed.info/sct version 4.0.1 (131774005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[111]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190421
              },
              {
                "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 '131775006' is not valid in the system http://snomed.info/sct version 4.0.1 (131775006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[112]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190494
              },
              {
                "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 '131776007' is not valid in the system http://snomed.info/sct version 4.0.1 (131776007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[113]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190568
              },
              {
                "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 '131778008' is not valid in the system http://snomed.info/sct version 4.0.1 (131778008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[114]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190636
              },
              {
                "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 '131780002' is not valid in the system http://snomed.info/sct version 4.0.1 (131780002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[115]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190706
              },
              {
                "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 '131782005' is not valid in the system http://snomed.info/sct version 4.0.1 (131782005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[116]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190781
              },
              {
                "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 '131784006' is not valid in the system http://snomed.info/sct version 4.0.1 (131784006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[117]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190843
              },
              {
                "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 '131786008' is not valid in the system http://snomed.info/sct version 4.0.1 (131786008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[118]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190908
              },
              {
                "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 '131788009' is not valid in the system http://snomed.info/sct version 4.0.1 (131788009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[119]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 190975
              },
              {
                "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 '131790005' is not valid in the system http://snomed.info/sct version 4.0.1 (131790005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[120]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191049
              },
              {
                "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 '131792002' is not valid in the system http://snomed.info/sct version 4.0.1 (131792002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[121]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191134
              },
              {
                "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 '131794001' is not valid in the system http://snomed.info/sct version 4.0.1 (131794001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[122]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191203
              },
              {
                "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 '131796004' is not valid in the system http://snomed.info/sct version 4.0.1 (131796004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[123]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191284
              },
              {
                "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 '131798003' is not valid in the system http://snomed.info/sct version 4.0.1 (131798003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[124]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191347
              },
              {
                "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 '131800005' is not valid in the system http://snomed.info/sct version 4.0.1 (131800005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[125]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191413
              },
              {
                "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 '131802002' is not valid in the system http://snomed.info/sct version 4.0.1 (131802002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[126]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191475
              },
              {
                "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 '131810001' is not valid in the system http://snomed.info/sct version 4.0.1 (131810001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[127]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191535
              },
              {
                "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 '131812009' is not valid in the system http://snomed.info/sct version 4.0.1 (131812009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[128]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191598
              },
              {
                "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 '131814005' is not valid in the system http://snomed.info/sct version 4.0.1 (131814005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[129]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191665
              },
              {
                "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 '131816007' is not valid in the system http://snomed.info/sct version 4.0.1 (131816007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[130]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191738
              },
              {
                "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 '131818008' is not valid in the system http://snomed.info/sct version 4.0.1 (131818008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[131]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191812
              },
              {
                "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 '131821005' is not valid in the system http://snomed.info/sct version 4.0.1 (131821005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[132]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131823008' is not valid in the system http://snomed.info/sct version 4.0.1 (131823008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[133]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131825001' is not valid in the system http://snomed.info/sct version 4.0.1 (131825001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[134]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192019
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131827009' is not valid in the system http://snomed.info/sct version 4.0.1 (131827009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[135]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192086
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131830002' is not valid in the system http://snomed.info/sct version 4.0.1 (131830002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[136]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192168
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131832005' is not valid in the system http://snomed.info/sct version 4.0.1 (131832005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[137]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192238
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131834006' is not valid in the system http://snomed.info/sct version 4.0.1 (131834006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[138]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192308
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131836008' is not valid in the system http://snomed.info/sct version 4.0.1 (131836008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[139]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131838009' is not valid in the system http://snomed.info/sct version 4.0.1 (131838009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[140]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192443
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131840004' is not valid in the system http://snomed.info/sct version 4.0.1 (131840004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[141]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192506
              },
              {
                "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 '131843002' is not valid in the system http://snomed.info/sct version 4.0.1 (131843002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[142]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192576
              },
              {
                "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 '131845009' is not valid in the system http://snomed.info/sct version 4.0.1 (131845009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[143]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192643
              },
              {
                "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 '131848006' is not valid in the system http://snomed.info/sct version 4.0.1 (131848006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[144]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192706
              },
              {
                "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 '131850003' is not valid in the system http://snomed.info/sct version 4.0.1 (131850003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[145]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192777
              },
              {
                "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 '131852006' is not valid in the system http://snomed.info/sct version 4.0.1 (131852006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[146]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192844
              },
              {
                "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 '131854007' is not valid in the system http://snomed.info/sct version 4.0.1 (131854007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[147]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192915
              },
              {
                "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 '131856009' is not valid in the system http://snomed.info/sct version 4.0.1 (131856009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[148]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 192977
              },
              {
                "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 '131918007' is not valid in the system http://snomed.info/sct version 4.0.1 (131918007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[149]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193042
              },
              {
                "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 '132682000' is not valid in the system http://snomed.info/sct version 4.0.1 (132682000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[150]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193117
              },
              {
                "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 '132685003' is not valid in the system http://snomed.info/sct version 4.0.1 (132685003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[151]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193184
              },
              {
                "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 '132687006' is not valid in the system http://snomed.info/sct version 4.0.1 (132687006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[152]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193256
              },
              {
                "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 '132689009' is not valid in the system http://snomed.info/sct version 4.0.1 (132689009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[153]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132697002' is not valid in the system http://snomed.info/sct version 4.0.1 (132697002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[154]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132699004' is not valid in the system http://snomed.info/sct version 4.0.1 (132699004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[155]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132701004' is not valid in the system http://snomed.info/sct version 4.0.1 (132701004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[156]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132703001' is not valid in the system http://snomed.info/sct version 4.0.1 (132703001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[157]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193600
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132705008' is not valid in the system http://snomed.info/sct version 4.0.1 (132705008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[158]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132707000' is not valid in the system http://snomed.info/sct version 4.0.1 (132707000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[159]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193728
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132709002' is not valid in the system http://snomed.info/sct version 4.0.1 (132709002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[160]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132711006' is not valid in the system http://snomed.info/sct version 4.0.1 (132711006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[161]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193876
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132716001' is not valid in the system http://snomed.info/sct version 4.0.1 (132716001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[162]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132718000' is not valid in the system http://snomed.info/sct version 4.0.1 (132718000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[163]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 194023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132720002' is not valid in the system http://snomed.info/sct version 4.0.1 (132720002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[164]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 194091
              },
              {
                "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 '132722005' is not valid in the system http://snomed.info/sct version 4.0.1 (132722005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[165]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '132724006' is not valid in the system http://snomed.info/sct version 4.0.1 (132724006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[166]"
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          {
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              {
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              {
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              {
                "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 '132770004' is not valid in the system http://snomed.info/sct version 4.0.1 (132770004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[167]"
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '132784009' is not valid in the system http://snomed.info/sct version 4.0.1 (132784009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[168]"
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            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '132786006' is not valid in the system http://snomed.info/sct version 4.0.1 (132786006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[169]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "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 '132788007' is not valid in the system http://snomed.info/sct version 4.0.1 (132788007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[170]"
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132790008' is not valid in the system http://snomed.info/sct version 4.0.1 (132790008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[171]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132792000' is not valid in the system http://snomed.info/sct version 4.0.1 (132792000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[172]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132794004' is not valid in the system http://snomed.info/sct version 4.0.1 (132794004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[173]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132796002' is not valid in the system http://snomed.info/sct version 4.0.1 (132796002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[174]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132798001' is not valid in the system http://snomed.info/sct version 4.0.1 (132798001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[175]"
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          {
            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132800008' is not valid in the system http://snomed.info/sct version 4.0.1 (132800008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[176]"
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132802000' is not valid in the system http://snomed.info/sct version 4.0.1 (132802000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[177]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132804004' is not valid in the system http://snomed.info/sct version 4.0.1 (132804004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[178]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132806002' is not valid in the system http://snomed.info/sct version 4.0.1 (132806002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[179]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132808001' is not valid in the system http://snomed.info/sct version 4.0.1 (132808001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[180]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132810004' is not valid in the system http://snomed.info/sct version 4.0.1 (132810004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[181]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132812007' is not valid in the system http://snomed.info/sct version 4.0.1 (132812007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[182]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132814008' is not valid in the system http://snomed.info/sct version 4.0.1 (132814008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[183]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132845007' is not valid in the system http://snomed.info/sct version 4.0.1 (132845007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[184]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132849001' is not valid in the system http://snomed.info/sct version 4.0.1 (132849001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[185]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '132852009' is not valid in the system http://snomed.info/sct version 4.0.1 (132852009)"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132854005' is not valid in the system http://snomed.info/sct version 4.0.1 (132854005)"
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            "expression": [
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
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              "text": "The code '132856007' is not valid in the system http://snomed.info/sct version 4.0.1 (132856007)"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
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              "text": "The code '132858008' is not valid in the system http://snomed.info/sct version 4.0.1 (132858008)"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132860005' is not valid in the system http://snomed.info/sct version 4.0.1 (132860005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[190]"
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          {
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              {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 195822
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132958007' is not valid in the system http://snomed.info/sct version 4.0.1 (132958007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[191]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "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 '132987008' is not valid in the system http://snomed.info/sct version 4.0.1 (132987008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[192]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132989006' is not valid in the system http://snomed.info/sct version 4.0.1 (132989006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[193]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132991003' is not valid in the system http://snomed.info/sct version 4.0.1 (132991003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[194]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132993000' is not valid in the system http://snomed.info/sct version 4.0.1 (132993000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[195]"
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              {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133703008' is not valid in the system http://snomed.info/sct version 4.0.1 (133703008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[196]"
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          {
            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133715007' is not valid in the system http://snomed.info/sct version 4.0.1 (133715007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[197]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133717004' is not valid in the system http://snomed.info/sct version 4.0.1 (133717004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[198]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133719001' is not valid in the system http://snomed.info/sct version 4.0.1 (133719001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[199]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133731004' is not valid in the system http://snomed.info/sct version 4.0.1 (133731004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[200]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133733001' is not valid in the system http://snomed.info/sct version 4.0.1 (133733001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[201]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133735008' is not valid in the system http://snomed.info/sct version 4.0.1 (133735008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[202]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133747002' is not valid in the system http://snomed.info/sct version 4.0.1 (133747002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[203]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133749004' is not valid in the system http://snomed.info/sct version 4.0.1 (133749004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[204]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133751000' is not valid in the system http://snomed.info/sct version 4.0.1 (133751000)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[205]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133763005' is not valid in the system http://snomed.info/sct version 4.0.1 (133763005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[206]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133765003' is not valid in the system http://snomed.info/sct version 4.0.1 (133765003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[207]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133767006' is not valid in the system http://snomed.info/sct version 4.0.1 (133767006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[208]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133779006' is not valid in the system http://snomed.info/sct version 4.0.1 (133779006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[209]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133781008' is not valid in the system http://snomed.info/sct version 4.0.1 (133781008)"
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133783006' is not valid in the system http://snomed.info/sct version 4.0.1 (133783006)"
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            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133795006' is not valid in the system http://snomed.info/sct version 4.0.1 (133795006)"
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            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133797003' is not valid in the system http://snomed.info/sct version 4.0.1 (133797003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[213]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133799000' is not valid in the system http://snomed.info/sct version 4.0.1 (133799000)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[214]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 197485
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133801002' is not valid in the system http://snomed.info/sct version 4.0.1 (133801002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[215]"
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          {
            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133803004' is not valid in the system http://snomed.info/sct version 4.0.1 (133803004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[216]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133805006' is not valid in the system http://snomed.info/sct version 4.0.1 (133805006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[217]"
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            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133807003' is not valid in the system http://snomed.info/sct version 4.0.1 (133807003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[218]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133809000' is not valid in the system http://snomed.info/sct version 4.0.1 (133809000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[219]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133811009' is not valid in the system http://snomed.info/sct version 4.0.1 (133811009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[220]"
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133813007' is not valid in the system http://snomed.info/sct version 4.0.1 (133813007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[221]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133815000' is not valid in the system http://snomed.info/sct version 4.0.1 (133815000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[222]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133817008' is not valid in the system http://snomed.info/sct version 4.0.1 (133817008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[223]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133819006' is not valid in the system http://snomed.info/sct version 4.0.1 (133819006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[224]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133821001' is not valid in the system http://snomed.info/sct version 4.0.1 (133821001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[225]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133823003' is not valid in the system http://snomed.info/sct version 4.0.1 (133823003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[226]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133825005' is not valid in the system http://snomed.info/sct version 4.0.1 (133825005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[227]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133827002' is not valid in the system http://snomed.info/sct version 4.0.1 (133827002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[228]"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133829004' is not valid in the system http://snomed.info/sct version 4.0.1 (133829004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[229]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133831008' is not valid in the system http://snomed.info/sct version 4.0.1 (133831008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[230]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133833006' is not valid in the system http://snomed.info/sct version 4.0.1 (133833006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[231]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133835004' is not valid in the system http://snomed.info/sct version 4.0.1 (133835004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[232]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133837007' is not valid in the system http://snomed.info/sct version 4.0.1 (133837007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[233]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133839005' is not valid in the system http://snomed.info/sct version 4.0.1 (133839005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[234]"
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133841006' is not valid in the system http://snomed.info/sct version 4.0.1 (133841006)"
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            "expression": [
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '406660008' is not valid in the system http://snomed.info/sct version 4.0.1 (406660008)"
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            "expression": [
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '409911001' is not valid in the system http://snomed.info/sct version 4.0.1 (409911001)"
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            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '125099002' is not valid in the system http://snomed.info/sct version 4.0.1 (125099002)"
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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            "code": "business-rule",
            "details": {
              "text": "The code '125101009' is not valid in the system http://snomed.info/sct version 4.0.1 (125101009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[239]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '424705003' is not valid in the system http://snomed.info/sct version 4.0.1 (424705003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[240]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '35354009' is not valid in the system http://snomed.info/sct version 4.0.1 (35354009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[241]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133068005' is not valid in the system http://snomed.info/sct version 4.0.1 (133068005)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[242]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '133070001' is not valid in the system http://snomed.info/sct version 4.0.1 (133070001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[243]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '133120002' is not valid in the system http://snomed.info/sct version 4.0.1 (133120002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[244]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '133122005' is not valid in the system http://snomed.info/sct version 4.0.1 (133122005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[245]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '7623008' is not valid in the system http://snomed.info/sct version 4.0.1 (7623008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[246]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '26837006' is not valid in the system http://snomed.info/sct version 4.0.1 (26837006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[247]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '41092008' is not valid in the system http://snomed.info/sct version 4.0.1 (41092008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[248]"
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              {
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            "code": "business-rule",
            "details": {
              "text": "The code '46408008' is not valid in the system http://snomed.info/sct version 4.0.1 (46408008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[249]"
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '54098002' is not valid in the system http://snomed.info/sct version 4.0.1 (54098002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[250]"
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            "code": "business-rule",
            "details": {
              "text": "The code '55167009' is not valid in the system http://snomed.info/sct version 4.0.1 (55167009)"
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            "code": "business-rule",
            "details": {
              "text": "The code '80777007' is not valid in the system http://snomed.info/sct version 4.0.1 (80777007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[252]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '131862004' is not valid in the system http://snomed.info/sct version 4.0.1 (131862004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[253]"
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            "code": "business-rule",
            "details": {
              "text": "The code '131864003' is not valid in the system http://snomed.info/sct version 4.0.1 (131864003)"
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            "expression": [
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '131866001' is not valid in the system http://snomed.info/sct version 4.0.1 (131866001)"
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            "code": "business-rule",
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              "text": "The code '131868000' is not valid in the system http://snomed.info/sct version 4.0.1 (131868000)"
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              "text": "The code '131870009' is not valid in the system http://snomed.info/sct version 4.0.1 (131870009)"
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              "text": "The code '131873006' is not valid in the system http://snomed.info/sct version 4.0.1 (131873006)"
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              "text": "The code '131875004' is not valid in the system http://snomed.info/sct version 4.0.1 (131875004)"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '131887006' is not valid in the system http://snomed.info/sct version 4.0.1 (131887006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[264]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '131889009' is not valid in the system http://snomed.info/sct version 4.0.1 (131889009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[265]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131891001' is not valid in the system http://snomed.info/sct version 4.0.1 (131891001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[266]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '131893003' is not valid in the system http://snomed.info/sct version 4.0.1 (131893003)"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '131895005' is not valid in the system http://snomed.info/sct version 4.0.1 (131895005)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[268]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '131897002' is not valid in the system http://snomed.info/sct version 4.0.1 (131897002)"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '131899004' is not valid in the system http://snomed.info/sct version 4.0.1 (131899004)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[270]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '131901008' is not valid in the system http://snomed.info/sct version 4.0.1 (131901008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[271]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '131903006' is not valid in the system http://snomed.info/sct version 4.0.1 (131903006)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[272]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '131905004' is not valid in the system http://snomed.info/sct version 4.0.1 (131905004)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[273]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '131907007' is not valid in the system http://snomed.info/sct version 4.0.1 (131907007)"
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              "text": "The code '132951001' is not valid in the system http://snomed.info/sct version 4.0.1 (132951001)"
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              "text": "The code '132953003' is not valid in the system http://snomed.info/sct version 4.0.1 (132953003)"
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              "text": "The code '132955005' is not valid in the system http://snomed.info/sct version 4.0.1 (132955005)"
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              "text": "The code '132957002' is not valid in the system http://snomed.info/sct version 4.0.1 (132957002)"
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              "text": "The code '133072009' is not valid in the system http://snomed.info/sct version 4.0.1 (133072009)"
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              "text": "The code '133118000' is not valid in the system http://snomed.info/sct version 4.0.1 (133118000)"
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              "text": "The code '133123000' is not valid in the system http://snomed.info/sct version 4.0.1 (133123000)"
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              "text": "The code '133125007' is not valid in the system http://snomed.info/sct version 4.0.1 (133125007)"
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              "text": "The code '133131005' is not valid in the system http://snomed.info/sct version 4.0.1 (133131005)"
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              "text": "The code '133133008' is not valid in the system http://snomed.info/sct version 4.0.1 (133133008)"
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            "details": {
              "text": "The code '133135001' is not valid in the system http://snomed.info/sct version 4.0.1 (133135001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[288]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 202442
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133137009' is not valid in the system http://snomed.info/sct version 4.0.1 (133137009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[289]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133139007' is not valid in the system http://snomed.info/sct version 4.0.1 (133139007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[290]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133142001' is not valid in the system http://snomed.info/sct version 4.0.1 (133142001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[291]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '6220006' is not valid in the system http://snomed.info/sct version 4.0.1 (6220006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[292]"
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          {
            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "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 '25813002' is not valid in the system http://snomed.info/sct version 4.0.1 (25813002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[293]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '54447000' is not valid in the system http://snomed.info/sct version 4.0.1 (54447000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[294]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '70457009' is not valid in the system http://snomed.info/sct version 4.0.1 (70457009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[295]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '112488001' is not valid in the system http://snomed.info/sct version 4.0.1 (112488001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[296]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131804001' is not valid in the system http://snomed.info/sct version 4.0.1 (131804001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[297]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131806004' is not valid in the system http://snomed.info/sct version 4.0.1 (131806004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[298]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131808003' is not valid in the system http://snomed.info/sct version 4.0.1 (131808003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[299]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131861006' is not valid in the system http://snomed.info/sct version 4.0.1 (131861006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[300]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131909005' is not valid in the system http://snomed.info/sct version 4.0.1 (131909005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[301]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131911001' is not valid in the system http://snomed.info/sct version 4.0.1 (131911001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[302]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131913003' is not valid in the system http://snomed.info/sct version 4.0.1 (131913003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[303]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131917002' is not valid in the system http://snomed.info/sct version 4.0.1 (131917002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[304]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131920005' is not valid in the system http://snomed.info/sct version 4.0.1 (131920005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[305]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131922002' is not valid in the system http://snomed.info/sct version 4.0.1 (131922002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[306]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131924001' is not valid in the system http://snomed.info/sct version 4.0.1 (131924001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[307]"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131926004' is not valid in the system http://snomed.info/sct version 4.0.1 (131926004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[308]"
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          {
            "extension": [
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131928003' is not valid in the system http://snomed.info/sct version 4.0.1 (131928003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[309]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131930001' is not valid in the system http://snomed.info/sct version 4.0.1 (131930001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[310]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131932009' is not valid in the system http://snomed.info/sct version 4.0.1 (131932009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[311]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131934005' is not valid in the system http://snomed.info/sct version 4.0.1 (131934005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[312]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 203994
              },
              {
                "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 '131936007' is not valid in the system http://snomed.info/sct version 4.0.1 (131936007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[313]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204066
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131947000' is not valid in the system http://snomed.info/sct version 4.0.1 (131947000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[314]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204135
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131964002' is not valid in the system http://snomed.info/sct version 4.0.1 (131964002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[315]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204201
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131973005' is not valid in the system http://snomed.info/sct version 4.0.1 (131973005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[316]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204264
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131975003' is not valid in the system http://snomed.info/sct version 4.0.1 (131975003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[317]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204336
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131977006' is not valid in the system http://snomed.info/sct version 4.0.1 (131977006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[318]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204399
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131980007' is not valid in the system http://snomed.info/sct version 4.0.1 (131980007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[319]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204462
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131982004' is not valid in the system http://snomed.info/sct version 4.0.1 (131982004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[320]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204532
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131984003' is not valid in the system http://snomed.info/sct version 4.0.1 (131984003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[321]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204616
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131986001' is not valid in the system http://snomed.info/sct version 4.0.1 (131986001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[322]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204683
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131990004' is not valid in the system http://snomed.info/sct version 4.0.1 (131990004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[323]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204755
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131993002' is not valid in the system http://snomed.info/sct version 4.0.1 (131993002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[324]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204828
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132734002' is not valid in the system http://snomed.info/sct version 4.0.1 (132734002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[325]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204900
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132737009' is not valid in the system http://snomed.info/sct version 4.0.1 (132737009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[326]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204966
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132739007' is not valid in the system http://snomed.info/sct version 4.0.1 (132739007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[327]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '132742001' is not valid in the system http://snomed.info/sct version 4.0.1 (132742001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[328]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205099
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132746003' is not valid in the system http://snomed.info/sct version 4.0.1 (132746003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[329]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205168
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132748002' is not valid in the system http://snomed.info/sct version 4.0.1 (132748002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[330]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '132750005' is not valid in the system http://snomed.info/sct version 4.0.1 (132750005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[331]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205304
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132757008' is not valid in the system http://snomed.info/sct version 4.0.1 (132757008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[332]"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132759006' is not valid in the system http://snomed.info/sct version 4.0.1 (132759006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[333]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132761002' is not valid in the system http://snomed.info/sct version 4.0.1 (132761002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[334]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132766007' is not valid in the system http://snomed.info/sct version 4.0.1 (132766007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[335]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132775009' is not valid in the system http://snomed.info/sct version 4.0.1 (132775009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[336]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132996008' is not valid in the system http://snomed.info/sct version 4.0.1 (132996008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[337]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205703
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133017007' is not valid in the system http://snomed.info/sct version 4.0.1 (133017007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[338]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205771
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133019005' is not valid in the system http://snomed.info/sct version 4.0.1 (133019005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[339]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205837
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133021000' is not valid in the system http://snomed.info/sct version 4.0.1 (133021000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[340]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205898
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133024008' is not valid in the system http://snomed.info/sct version 4.0.1 (133024008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[341]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205962
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133026005' is not valid in the system http://snomed.info/sct version 4.0.1 (133026005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[342]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206026
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133028006' is not valid in the system http://snomed.info/sct version 4.0.1 (133028006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[343]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206090
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133034004' is not valid in the system http://snomed.info/sct version 4.0.1 (133034004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[344]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206160
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133043008' is not valid in the system http://snomed.info/sct version 4.0.1 (133043008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[345]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206224
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133048004' is not valid in the system http://snomed.info/sct version 4.0.1 (133048004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[346]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133050007' is not valid in the system http://snomed.info/sct version 4.0.1 (133050007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[347]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206356
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133052004' is not valid in the system http://snomed.info/sct version 4.0.1 (133052004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[348]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206417
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133054003' is not valid in the system http://snomed.info/sct version 4.0.1 (133054003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[349]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133056001' is not valid in the system http://snomed.info/sct version 4.0.1 (133056001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[350]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206548
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133058000' is not valid in the system http://snomed.info/sct version 4.0.1 (133058000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[351]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206627
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133060003' is not valid in the system http://snomed.info/sct version 4.0.1 (133060003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[352]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206697
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133062006' is not valid in the system http://snomed.info/sct version 4.0.1 (133062006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[353]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206758
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133096004' is not valid in the system http://snomed.info/sct version 4.0.1 (133096004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[354]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 206830
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133098003' is not valid in the system http://snomed.info/sct version 4.0.1 (133098003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[355]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133100003' is not valid in the system http://snomed.info/sct version 4.0.1 (133100003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[356]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133103001' is not valid in the system http://snomed.info/sct version 4.0.1 (133103001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[357]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133105008' is not valid in the system http://snomed.info/sct version 4.0.1 (133105008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[358]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 207095
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133108005' is not valid in the system http://snomed.info/sct version 4.0.1 (133108005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[359]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 207165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133110007' is not valid in the system http://snomed.info/sct version 4.0.1 (133110007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[360]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 207235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133112004' is not valid in the system http://snomed.info/sct version 4.0.1 (133112004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[361]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "details": {
              "text": "The code '133114003' is not valid in the system http://snomed.info/sct version 4.0.1 (133114003)"
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            "details": {
              "text": "The code '406714004' is not valid in the system http://snomed.info/sct version 4.0.1 (406714004)"
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            "details": {
              "text": "The code '4288003' is not valid in the system http://snomed.info/sct version 4.0.1 (4288003)"
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              "text": "The code '12360007' is not valid in the system http://snomed.info/sct version 4.0.1 (12360007)"
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              "text": "The code '21295007' is not valid in the system http://snomed.info/sct version 4.0.1 (21295007)"
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            "details": {
              "text": "The code '34200004' is not valid in the system http://snomed.info/sct version 4.0.1 (34200004)"
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            "expression": [
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            "details": {
              "text": "The code '41738000' is not valid in the system http://snomed.info/sct version 4.0.1 (41738000)"
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            "details": {
              "text": "The code '53567001' is not valid in the system http://snomed.info/sct version 4.0.1 (53567001)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[369]"
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            "details": {
              "text": "The code '58264006' is not valid in the system http://snomed.info/sct version 4.0.1 (58264006)"
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              "text": "The code '76302002' is not valid in the system http://snomed.info/sct version 4.0.1 (76302002)"
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              "text": "The code '131938008' is not valid in the system http://snomed.info/sct version 4.0.1 (131938008)"
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              "text": "The code '131940003' is not valid in the system http://snomed.info/sct version 4.0.1 (131940003)"
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              "text": "The code '131942006' is not valid in the system http://snomed.info/sct version 4.0.1 (131942006)"
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              "text": "The code '131944007' is not valid in the system http://snomed.info/sct version 4.0.1 (131944007)"
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              "text": "The code '131946009' is not valid in the system http://snomed.info/sct version 4.0.1 (131946009)"
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              "text": "The code '131950002' is not valid in the system http://snomed.info/sct version 4.0.1 (131950002)"
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              "text": "The code '131994008' is not valid in the system http://snomed.info/sct version 4.0.1 (131994008)"
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              "text": "The code '132773002' is not valid in the system http://snomed.info/sct version 4.0.1 (132773002)"
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              "text": "The code '132777001' is not valid in the system http://snomed.info/sct version 4.0.1 (132777001)"
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            "code": "business-rule",
            "details": {
              "text": "The code '132964000' is not valid in the system http://snomed.info/sct version 4.0.1 (132964000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[386]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 208925
              },
              {
                "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 '132966003' is not valid in the system http://snomed.info/sct version 4.0.1 (132966003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[387]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209017
              },
              {
                "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 '132968002' is not valid in the system http://snomed.info/sct version 4.0.1 (132968002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[388]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209092
              },
              {
                "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 '132970006' is not valid in the system http://snomed.info/sct version 4.0.1 (132970006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[389]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209160
              },
              {
                "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 '132972003' is not valid in the system http://snomed.info/sct version 4.0.1 (132972003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[390]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209223
              },
              {
                "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 '132974002' is not valid in the system http://snomed.info/sct version 4.0.1 (132974002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[391]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209292
              },
              {
                "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 '132976000' is not valid in the system http://snomed.info/sct version 4.0.1 (132976000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[392]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209361
              },
              {
                "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 '132978004' is not valid in the system http://snomed.info/sct version 4.0.1 (132978004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[393]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209424
              },
              {
                "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 '132980005' is not valid in the system http://snomed.info/sct version 4.0.1 (132980005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[394]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209491
              },
              {
                "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 '132982002' is not valid in the system http://snomed.info/sct version 4.0.1 (132982002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[395]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209554
              },
              {
                "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 '132984001' is not valid in the system http://snomed.info/sct version 4.0.1 (132984001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[396]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209617
              },
              {
                "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 '132986004' is not valid in the system http://snomed.info/sct version 4.0.1 (132986004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[397]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209693
              },
              {
                "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 '132997004' is not valid in the system http://snomed.info/sct version 4.0.1 (132997004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[398]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209760
              },
              {
                "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 '133010009' is not valid in the system http://snomed.info/sct version 4.0.1 (133010009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[399]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209823
              },
              {
                "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 '133012001' is not valid in the system http://snomed.info/sct version 4.0.1 (133012001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[400]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209889
              },
              {
                "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 '133014000' is not valid in the system http://snomed.info/sct version 4.0.1 (133014000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[401]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209951
              },
              {
                "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 '133031007' is not valid in the system http://snomed.info/sct version 4.0.1 (133031007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[402]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210015
              },
              {
                "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 '133033005' is not valid in the system http://snomed.info/sct version 4.0.1 (133033005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[403]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210076
              },
              {
                "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 '133037006' is not valid in the system http://snomed.info/sct version 4.0.1 (133037006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[404]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210141
              },
              {
                "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 '133039009' is not valid in the system http://snomed.info/sct version 4.0.1 (133039009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[405]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210217
              },
              {
                "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 '133041005' is not valid in the system http://snomed.info/sct version 4.0.1 (133041005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[406]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210280
              },
              {
                "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 '133045001' is not valid in the system http://snomed.info/sct version 4.0.1 (133045001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[407]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210357
              },
              {
                "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 '133063001' is not valid in the system http://snomed.info/sct version 4.0.1 (133063001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[408]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210424
              },
              {
                "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 '133065008' is not valid in the system http://snomed.info/sct version 4.0.1 (133065008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[409]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210499
              },
              {
                "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 '133067000' is not valid in the system http://snomed.info/sct version 4.0.1 (133067000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[410]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133074005' is not valid in the system http://snomed.info/sct version 4.0.1 (133074005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[411]"
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              {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133076007' is not valid in the system http://snomed.info/sct version 4.0.1 (133076007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[412]"
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              {
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133078008' is not valid in the system http://snomed.info/sct version 4.0.1 (133078008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[413]"
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              {
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              {
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133080002' is not valid in the system http://snomed.info/sct version 4.0.1 (133080002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[414]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133082005' is not valid in the system http://snomed.info/sct version 4.0.1 (133082005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[415]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '133084006' is not valid in the system http://snomed.info/sct version 4.0.1 (133084006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[416]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133087004' is not valid in the system http://snomed.info/sct version 4.0.1 (133087004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[417]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133089001' is not valid in the system http://snomed.info/sct version 4.0.1 (133089001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[418]"
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '133091009' is not valid in the system http://snomed.info/sct version 4.0.1 (133091009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[419]"
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133093007' is not valid in the system http://snomed.info/sct version 4.0.1 (133093007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[420]"
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133143006' is not valid in the system http://snomed.info/sct version 4.0.1 (133143006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[421]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133146003' is not valid in the system http://snomed.info/sct version 4.0.1 (133146003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[422]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133148002' is not valid in the system http://snomed.info/sct version 4.0.1 (133148002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[423]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '133150005' is not valid in the system http://snomed.info/sct version 4.0.1 (133150005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[424]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '133152002' is not valid in the system http://snomed.info/sct version 4.0.1 (133152002)"
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            "expression": [
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            "code": "business-rule",
            "details": {
              "text": "The code '133154001' is not valid in the system http://snomed.info/sct version 4.0.1 (133154001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[426]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '133156004' is not valid in the system http://snomed.info/sct version 4.0.1 (133156004)"
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            "code": "business-rule",
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              "text": "The code '133158003' is not valid in the system http://snomed.info/sct version 4.0.1 (133158003)"
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            "code": "business-rule",
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              "text": "The code '133160001' is not valid in the system http://snomed.info/sct version 4.0.1 (133160001)"
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            "expression": [
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            "code": "business-rule",
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              "text": "The code '406721004' is not valid in the system http://snomed.info/sct version 4.0.1 (406721004)"
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              "text": "The code '1118004' is not valid in the system http://snomed.info/sct version 4.0.1 (1118004)"
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              "text": "The code '8089006' is not valid in the system http://snomed.info/sct version 4.0.1 (8089006)"
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              "text": "The code '31633003' is not valid in the system http://snomed.info/sct version 4.0.1 (31633003)"
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            "code": "business-rule",
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              "text": "The code '131953000' is not valid in the system http://snomed.info/sct version 4.0.1 (131953000)"
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            "code": "business-rule",
            "details": {
              "text": "The code '131955007' is not valid in the system http://snomed.info/sct version 4.0.1 (131955007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[435]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212258
              },
              {
                "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 '131957004' is not valid in the system http://snomed.info/sct version 4.0.1 (131957004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[436]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212324
              },
              {
                "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 '131959001' is not valid in the system http://snomed.info/sct version 4.0.1 (131959001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[437]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212390
              },
              {
                "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 '131962003' is not valid in the system http://snomed.info/sct version 4.0.1 (131962003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[438]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212458
              },
              {
                "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 '131965001' is not valid in the system http://snomed.info/sct version 4.0.1 (131965001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[439]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212520
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131967009' is not valid in the system http://snomed.info/sct version 4.0.1 (131967009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[440]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212581
              },
              {
                "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 '131969007' is not valid in the system http://snomed.info/sct version 4.0.1 (131969007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[441]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212644
              },
              {
                "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 '131971007' is not valid in the system http://snomed.info/sct version 4.0.1 (131971007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[442]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212711
              },
              {
                "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 '132744000' is not valid in the system http://snomed.info/sct version 4.0.1 (132744000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[443]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212785
              },
              {
                "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 '132995007' is not valid in the system http://snomed.info/sct version 4.0.1 (132995007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[444]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212850
              },
              {
                "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 '132999001' is not valid in the system http://snomed.info/sct version 4.0.1 (132999001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[445]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212925
              },
              {
                "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 '133002008' is not valid in the system http://snomed.info/sct version 4.0.1 (133002008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[446]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212988
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133004009' is not valid in the system http://snomed.info/sct version 4.0.1 (133004009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[447]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133006006' is not valid in the system http://snomed.info/sct version 4.0.1 (133006006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[448]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213115
              },
              {
                "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 '133008007' is not valid in the system http://snomed.info/sct version 4.0.1 (133008007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[449]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133015004' is not valid in the system http://snomed.info/sct version 4.0.1 (133015004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[450]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133107000' is not valid in the system http://snomed.info/sct version 4.0.1 (133107000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[451]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131819000' is not valid in the system http://snomed.info/sct version 4.0.1 (131819000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[452]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131879005' is not valid in the system http://snomed.info/sct version 4.0.1 (131879005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[453]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131961005' is not valid in the system http://snomed.info/sct version 4.0.1 (131961005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[454]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132763004' is not valid in the system http://snomed.info/sct version 4.0.1 (132763004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[455]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133022007' is not valid in the system http://snomed.info/sct version 4.0.1 (133022007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[456]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213699
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133144000' is not valid in the system http://snomed.info/sct version 4.0.1 (133144000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[457]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131426006' is not valid in the system http://snomed.info/sct version 4.0.1 (131426006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[458]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213829
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131442004' is not valid in the system http://snomed.info/sct version 4.0.1 (131442004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[459]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213897
              },
              {
                "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 '131541008' is not valid in the system http://snomed.info/sct version 4.0.1 (131541008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[460]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 213961
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131543006' is not valid in the system http://snomed.info/sct version 4.0.1 (131543006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[461]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131556004' is not valid in the system http://snomed.info/sct version 4.0.1 (131556004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[462]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214094
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131558003' is not valid in the system http://snomed.info/sct version 4.0.1 (131558003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[463]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214168
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131560001' is not valid in the system http://snomed.info/sct version 4.0.1 (131560001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[464]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214244
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133290002' is not valid in the system http://snomed.info/sct version 4.0.1 (133290002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[465]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133551002' is not valid in the system http://snomed.info/sct version 4.0.1 (133551002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[466]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214386
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133553004' is not valid in the system http://snomed.info/sct version 4.0.1 (133553004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[467]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214450
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133575002' is not valid in the system http://snomed.info/sct version 4.0.1 (133575002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[468]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214514
              },
              {
                "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 '131427002' is not valid in the system http://snomed.info/sct version 4.0.1 (131427002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[469]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214578
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131443009' is not valid in the system http://snomed.info/sct version 4.0.1 (131443009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[470]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131445002' is not valid in the system http://snomed.info/sct version 4.0.1 (131445002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[471]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131447005' is not valid in the system http://snomed.info/sct version 4.0.1 (131447005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[472]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133293000' is not valid in the system http://snomed.info/sct version 4.0.1 (133293000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[473]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133295007' is not valid in the system http://snomed.info/sct version 4.0.1 (133295007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[474]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214909
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133297004' is not valid in the system http://snomed.info/sct version 4.0.1 (133297004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[475]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133299001' is not valid in the system http://snomed.info/sct version 4.0.1 (133299001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[476]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 215063
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133301008' is not valid in the system http://snomed.info/sct version 4.0.1 (133301008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[477]"
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          {
            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133303006' is not valid in the system http://snomed.info/sct version 4.0.1 (133303006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[478]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133305004' is not valid in the system http://snomed.info/sct version 4.0.1 (133305004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[479]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131429004' is not valid in the system http://snomed.info/sct version 4.0.1 (131429004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[480]"
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            "extension": [
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131431008' is not valid in the system http://snomed.info/sct version 4.0.1 (131431008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[481]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131449008' is not valid in the system http://snomed.info/sct version 4.0.1 (131449008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[482]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131451007' is not valid in the system http://snomed.info/sct version 4.0.1 (131451007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[483]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131453005' is not valid in the system http://snomed.info/sct version 4.0.1 (131453005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[484]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131455003' is not valid in the system http://snomed.info/sct version 4.0.1 (131455003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[485]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131458001' is not valid in the system http://snomed.info/sct version 4.0.1 (131458001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[486]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131569000' is not valid in the system http://snomed.info/sct version 4.0.1 (131569000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[487]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131571000' is not valid in the system http://snomed.info/sct version 4.0.1 (131571000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[488]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131573002' is not valid in the system http://snomed.info/sct version 4.0.1 (131573002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[489]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131575009' is not valid in the system http://snomed.info/sct version 4.0.1 (131575009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[490]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131584009' is not valid in the system http://snomed.info/sct version 4.0.1 (131584009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[491]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216103
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133328003' is not valid in the system http://snomed.info/sct version 4.0.1 (133328003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[492]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216177
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133330001' is not valid in the system http://snomed.info/sct version 4.0.1 (133330001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[493]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133332009' is not valid in the system http://snomed.info/sct version 4.0.1 (133332009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[494]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216317
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133334005' is not valid in the system http://snomed.info/sct version 4.0.1 (133334005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[495]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216382
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133336007' is not valid in the system http://snomed.info/sct version 4.0.1 (133336007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[496]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133338008' is not valid in the system http://snomed.info/sct version 4.0.1 (133338008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[497]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133340003' is not valid in the system http://snomed.info/sct version 4.0.1 (133340003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[498]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216593
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133342006' is not valid in the system http://snomed.info/sct version 4.0.1 (133342006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[499]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133344007' is not valid in the system http://snomed.info/sct version 4.0.1 (133344007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[500]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133346009' is not valid in the system http://snomed.info/sct version 4.0.1 (133346009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[501]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133348005' is not valid in the system http://snomed.info/sct version 4.0.1 (133348005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[502]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133350002' is not valid in the system http://snomed.info/sct version 4.0.1 (133350002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[503]"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216952
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133353000' is not valid in the system http://snomed.info/sct version 4.0.1 (133353000)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[504]"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133577005' is not valid in the system http://snomed.info/sct version 4.0.1 (133577005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[505]"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133593001' is not valid in the system http://snomed.info/sct version 4.0.1 (133593001)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[506]"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217161
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131461000' is not valid in the system http://snomed.info/sct version 4.0.1 (131461000)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[507]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131463002' is not valid in the system http://snomed.info/sct version 4.0.1 (131463002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[508]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217296
              },
              {
                "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 '131465009' is not valid in the system http://snomed.info/sct version 4.0.1 (131465009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[509]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217361
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131467001' is not valid in the system http://snomed.info/sct version 4.0.1 (131467001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[510]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217431
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131469003' is not valid in the system http://snomed.info/sct version 4.0.1 (131469003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[511]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217495
              },
              {
                "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 '131471003' is not valid in the system http://snomed.info/sct version 4.0.1 (131471003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[512]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217558
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131473000' is not valid in the system http://snomed.info/sct version 4.0.1 (131473000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[513]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217629
              },
              {
                "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 '131551009' is not valid in the system http://snomed.info/sct version 4.0.1 (131551009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[514]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217696
              },
              {
                "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 '131586006' is not valid in the system http://snomed.info/sct version 4.0.1 (131586006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[515]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217762
              },
              {
                "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 '131588007' is not valid in the system http://snomed.info/sct version 4.0.1 (131588007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[516]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217825
              },
              {
                "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 '131590008' is not valid in the system http://snomed.info/sct version 4.0.1 (131590008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[517]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217895
              },
              {
                "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 '131592000' is not valid in the system http://snomed.info/sct version 4.0.1 (131592000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[518]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217969
              },
              {
                "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 '131594004' is not valid in the system http://snomed.info/sct version 4.0.1 (131594004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[519]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218034
              },
              {
                "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 '131596002' is not valid in the system http://snomed.info/sct version 4.0.1 (131596002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[520]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218097
              },
              {
                "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 '131598001' is not valid in the system http://snomed.info/sct version 4.0.1 (131598001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[521]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131600007' is not valid in the system http://snomed.info/sct version 4.0.1 (131600007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[522]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131602004' is not valid in the system http://snomed.info/sct version 4.0.1 (131602004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[523]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131604003' is not valid in the system http://snomed.info/sct version 4.0.1 (131604003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[524]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133355007' is not valid in the system http://snomed.info/sct version 4.0.1 (133355007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[525]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133357004' is not valid in the system http://snomed.info/sct version 4.0.1 (133357004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[526]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218510
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133359001' is not valid in the system http://snomed.info/sct version 4.0.1 (133359001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[527]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218582
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133362003' is not valid in the system http://snomed.info/sct version 4.0.1 (133362003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[528]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133364002' is not valid in the system http://snomed.info/sct version 4.0.1 (133364002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[529]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218720
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133366000' is not valid in the system http://snomed.info/sct version 4.0.1 (133366000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[530]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218788
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133368004' is not valid in the system http://snomed.info/sct version 4.0.1 (133368004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[531]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133370008' is not valid in the system http://snomed.info/sct version 4.0.1 (133370008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[532]"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218934
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133372000' is not valid in the system http://snomed.info/sct version 4.0.1 (133372000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[533]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219004
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133374004' is not valid in the system http://snomed.info/sct version 4.0.1 (133374004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[534]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219067
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133376002' is not valid in the system http://snomed.info/sct version 4.0.1 (133376002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[535]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133378001' is not valid in the system http://snomed.info/sct version 4.0.1 (133378001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[536]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133380007' is not valid in the system http://snomed.info/sct version 4.0.1 (133380007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[537]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219293
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133382004' is not valid in the system http://snomed.info/sct version 4.0.1 (133382004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[538]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133384003' is not valid in the system http://snomed.info/sct version 4.0.1 (133384003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[539]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219435
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133387005' is not valid in the system http://snomed.info/sct version 4.0.1 (133387005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[540]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219508
              },
              {
                "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 '133389008' is not valid in the system http://snomed.info/sct version 4.0.1 (133389008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[541]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219578
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133391000' is not valid in the system http://snomed.info/sct version 4.0.1 (133391000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[542]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219639
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133393002' is not valid in the system http://snomed.info/sct version 4.0.1 (133393002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[543]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219710
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133395009' is not valid in the system http://snomed.info/sct version 4.0.1 (133395009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[544]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219785
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133397001' is not valid in the system http://snomed.info/sct version 4.0.1 (133397001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[545]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219855
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133405000' is not valid in the system http://snomed.info/sct version 4.0.1 (133405000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[546]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219928
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133407008' is not valid in the system http://snomed.info/sct version 4.0.1 (133407008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[547]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 219990
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133409006' is not valid in the system http://snomed.info/sct version 4.0.1 (133409006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[548]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220060
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133411002' is not valid in the system http://snomed.info/sct version 4.0.1 (133411002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[549]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133413004' is not valid in the system http://snomed.info/sct version 4.0.1 (133413004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[550]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220204
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133421005' is not valid in the system http://snomed.info/sct version 4.0.1 (133421005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[551]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220278
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133423008' is not valid in the system http://snomed.info/sct version 4.0.1 (133423008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[552]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133580006' is not valid in the system http://snomed.info/sct version 4.0.1 (133580006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[553]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133582003' is not valid in the system http://snomed.info/sct version 4.0.1 (133582003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[554]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220481
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131434000' is not valid in the system http://snomed.info/sct version 4.0.1 (131434000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[555]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220549
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131475007' is not valid in the system http://snomed.info/sct version 4.0.1 (131475007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[556]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220613
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131477004' is not valid in the system http://snomed.info/sct version 4.0.1 (131477004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[557]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220677
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131479001' is not valid in the system http://snomed.info/sct version 4.0.1 (131479001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[558]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220742
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131481004' is not valid in the system http://snomed.info/sct version 4.0.1 (131481004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[559]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220809
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133235009' is not valid in the system http://snomed.info/sct version 4.0.1 (133235009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[560]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220883
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133237001' is not valid in the system http://snomed.info/sct version 4.0.1 (133237001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[561]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133440004' is not valid in the system http://snomed.info/sct version 4.0.1 (133440004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[562]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133442007' is not valid in the system http://snomed.info/sct version 4.0.1 (133442007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[563]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133444008' is not valid in the system http://snomed.info/sct version 4.0.1 (133444008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[564]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133452006' is not valid in the system http://snomed.info/sct version 4.0.1 (133452006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[565]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 221234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133454007' is not valid in the system http://snomed.info/sct version 4.0.1 (133454007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[566]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 221300
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133456009' is not valid in the system http://snomed.info/sct version 4.0.1 (133456009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[567]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 221368
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133458005' is not valid in the system http://snomed.info/sct version 4.0.1 (133458005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[568]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133460007' is not valid in the system http://snomed.info/sct version 4.0.1 (133460007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[569]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131523000' is not valid in the system http://snomed.info/sct version 4.0.1 (131523000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[570]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131525007' is not valid in the system http://snomed.info/sct version 4.0.1 (131525007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[571]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '131527004' is not valid in the system http://snomed.info/sct version 4.0.1 (131527004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[572]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 '133483005' is not valid in the system http://snomed.info/sct version 4.0.1 (133483005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[573]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133495005' is not valid in the system http://snomed.info/sct version 4.0.1 (133495005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[574]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133497002' is not valid in the system http://snomed.info/sct version 4.0.1 (133497002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[575]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133499004' is not valid in the system http://snomed.info/sct version 4.0.1 (133499004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[576]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133511000' is not valid in the system http://snomed.info/sct version 4.0.1 (133511000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[577]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133513002' is not valid in the system http://snomed.info/sct version 4.0.1 (133513002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[578]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133515009' is not valid in the system http://snomed.info/sct version 4.0.1 (133515009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[579]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133527007' is not valid in the system http://snomed.info/sct version 4.0.1 (133527007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[580]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133529005' is not valid in the system http://snomed.info/sct version 4.0.1 (133529005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[581]"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "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 '133531001' is not valid in the system http://snomed.info/sct version 4.0.1 (133531001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[582]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222379
              },
              {
                "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 '133541003' is not valid in the system http://snomed.info/sct version 4.0.1 (133541003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[583]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222458
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133543000' is not valid in the system http://snomed.info/sct version 4.0.1 (133543000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[584]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222525
              },
              {
                "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 '133545007' is not valid in the system http://snomed.info/sct version 4.0.1 (133545007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[585]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222589
              },
              {
                "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 '133547004' is not valid in the system http://snomed.info/sct version 4.0.1 (133547004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[586]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222660
              },
              {
                "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 '133549001' is not valid in the system http://snomed.info/sct version 4.0.1 (133549001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[587]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222739
              },
              {
                "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 '133555006' is not valid in the system http://snomed.info/sct version 4.0.1 (133555006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[588]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222804
              },
              {
                "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 '133557003' is not valid in the system http://snomed.info/sct version 4.0.1 (133557003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[589]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222870
              },
              {
                "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 '133559000' is not valid in the system http://snomed.info/sct version 4.0.1 (133559000)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[590]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222943
              },
              {
                "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 '133567008' is not valid in the system http://snomed.info/sct version 4.0.1 (133567008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[591]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223015
              },
              {
                "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 '133569006' is not valid in the system http://snomed.info/sct version 4.0.1 (133569006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[592]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223079
              },
              {
                "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 '133571006' is not valid in the system http://snomed.info/sct version 4.0.1 (133571006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[593]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223143
              },
              {
                "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 '133576001' is not valid in the system http://snomed.info/sct version 4.0.1 (133576001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[594]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223208
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133587009' is not valid in the system http://snomed.info/sct version 4.0.1 (133587009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[595]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223272
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133589007' is not valid in the system http://snomed.info/sct version 4.0.1 (133589007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[596]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131549005' is not valid in the system http://snomed.info/sct version 4.0.1 (131549005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[597]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223404
              },
              {
                "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 '133288003' is not valid in the system http://snomed.info/sct version 4.0.1 (133288003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[598]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133573009' is not valid in the system http://snomed.info/sct version 4.0.1 (133573009)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[599]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223554
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '22330003' is not valid in the system http://snomed.info/sct version 4.0.1 (22330003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[600]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223629
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132005004' is not valid in the system http://snomed.info/sct version 4.0.1 (132005004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[601]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223705
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132008002' is not valid in the system http://snomed.info/sct version 4.0.1 (132008002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[602]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132817001' is not valid in the system http://snomed.info/sct version 4.0.1 (132817001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[603]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132819003' is not valid in the system http://snomed.info/sct version 4.0.1 (132819003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[604]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132821008' is not valid in the system http://snomed.info/sct version 4.0.1 (132821008)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[605]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223989
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132823006' is not valid in the system http://snomed.info/sct version 4.0.1 (132823006)"
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            "expression": [
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132825004' is not valid in the system http://snomed.info/sct version 4.0.1 (132825004)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[607]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132828002' is not valid in the system http://snomed.info/sct version 4.0.1 (132828002)"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132830000' is not valid in the system http://snomed.info/sct version 4.0.1 (132830000)"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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              "text": "The code '132832008' is not valid in the system http://snomed.info/sct version 4.0.1 (132832008)"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '132834009' is not valid in the system http://snomed.info/sct version 4.0.1 (132834009)"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132837002' is not valid in the system http://snomed.info/sct version 4.0.1 (132837002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[612]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132840002' is not valid in the system http://snomed.info/sct version 4.0.1 (132840002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[613]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The code '132842005' is not valid in the system http://snomed.info/sct version 4.0.1 (132842005)"
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              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[614]"
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132848009' is not valid in the system http://snomed.info/sct version 4.0.1 (132848009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[615]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '359839008' is not valid in the system http://snomed.info/sct version 4.0.1 (359839008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[616]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '47290002' is not valid in the system http://snomed.info/sct version 4.0.1 (47290002)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[617]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '2034000' is not valid in the system http://snomed.info/sct version 4.0.1 (2034000)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[618]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '2333000' is not valid in the system http://snomed.info/sct version 4.0.1 (2333000)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[619]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '5114005' is not valid in the system http://snomed.info/sct version 4.0.1 (5114005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[620]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '7598004' is not valid in the system http://snomed.info/sct version 4.0.1 (7598004)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[621]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '7767003' is not valid in the system http://snomed.info/sct version 4.0.1 (7767003)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[622]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '11830008' is not valid in the system http://snomed.info/sct version 4.0.1 (11830008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[623]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '12874007' is not valid in the system http://snomed.info/sct version 4.0.1 (12874007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[624]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
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              "text": "The code '18299006' is not valid in the system http://snomed.info/sct version 4.0.1 (18299006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[625]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '24886005' is not valid in the system http://snomed.info/sct version 4.0.1 (24886005)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[626]"
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            "code": "business-rule",
            "details": {
              "text": "The code '28138009' is not valid in the system http://snomed.info/sct version 4.0.1 (28138009)"
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            "expression": [
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            "code": "business-rule",
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              "text": "The code '29615001' is not valid in the system http://snomed.info/sct version 4.0.1 (29615001)"
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            "expression": [
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            "code": "business-rule",
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              "text": "The code '32509001' is not valid in the system http://snomed.info/sct version 4.0.1 (32509001)"
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            "code": "business-rule",
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              "text": "The code '33224000' is not valid in the system http://snomed.info/sct version 4.0.1 (33224000)"
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              "text": "The code '39571003' is not valid in the system http://snomed.info/sct version 4.0.1 (39571003)"
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              "text": "The code '112495005' is not valid in the system http://snomed.info/sct version 4.0.1 (112495005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[655]"
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131858005' is not valid in the system http://snomed.info/sct version 4.0.1 (131858005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[656]"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131860007' is not valid in the system http://snomed.info/sct version 4.0.1 (131860007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[657]"
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            "extension": [
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131996005' is not valid in the system http://snomed.info/sct version 4.0.1 (131996005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[658]"
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '131998006' is not valid in the system http://snomed.info/sct version 4.0.1 (131998006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[659]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132000009' is not valid in the system http://snomed.info/sct version 4.0.1 (132000009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[660]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132002001' is not valid in the system http://snomed.info/sct version 4.0.1 (132002001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[661]"
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              {
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              {
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              {
                "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 '132725007' is not valid in the system http://snomed.info/sct version 4.0.1 (132725007)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[662]"
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          {
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              {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132839004' is not valid in the system http://snomed.info/sct version 4.0.1 (132839004)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[663]"
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            "extension": [
              {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132247006' is not valid in the system http://snomed.info/sct version 4.0.1 (132247006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[664]"
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132249009' is not valid in the system http://snomed.info/sct version 4.0.1 (132249009)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[665]"
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132251008' is not valid in the system http://snomed.info/sct version 4.0.1 (132251008)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[666]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132253006' is not valid in the system http://snomed.info/sct version 4.0.1 (132253006)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[667]"
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            "code": "business-rule",
            "details": {
              "text": "The code '132255004' is not valid in the system http://snomed.info/sct version 4.0.1 (132255004)"
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            "expression": [
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132257007' is not valid in the system http://snomed.info/sct version 4.0.1 (132257007)"
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            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[669]"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132259005' is not valid in the system http://snomed.info/sct version 4.0.1 (132259005)"
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            "expression": [
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132262008' is not valid in the system http://snomed.info/sct version 4.0.1 (132262008)"
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            "expression": [
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132264009' is not valid in the system http://snomed.info/sct version 4.0.1 (132264009)"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132266006' is not valid in the system http://snomed.info/sct version 4.0.1 (132266006)"
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            "expression": [
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
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              "text": "The code '132268007' is not valid in the system http://snomed.info/sct version 4.0.1 (132268007)"
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            "expression": [
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            "code": "business-rule",
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              "text": "The code '132270003' is not valid in the system http://snomed.info/sct version 4.0.1 (132270003)"
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            "expression": [
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            "code": "business-rule",
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              "text": "The code '132272006' is not valid in the system http://snomed.info/sct version 4.0.1 (132272006)"
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            "expression": [
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
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              "text": "The code '132274007' is not valid in the system http://snomed.info/sct version 4.0.1 (132274007)"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "code": "business-rule",
            "details": {
              "text": "The code '132276009' is not valid in the system http://snomed.info/sct version 4.0.1 (132276009)"
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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '133640005' is not valid in the system http://snomed.info/sct version 4.0.1 (133640005)"
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            "expression": [
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 228707
              },
              {
                "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 '133642002' is not valid in the system http://snomed.info/sct version 4.0.1 (133642002)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[680]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 228779
              },
              {
                "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 '133644001' is not valid in the system http://snomed.info/sct version 4.0.1 (133644001)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[681]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 228842
              },
              {
                "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 '133648003' is not valid in the system http://snomed.info/sct version 4.0.1 (133648003)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[682]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 228907
              },
              {
                "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 '133650006' is not valid in the system http://snomed.info/sct version 4.0.1 (133650006)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[683]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 228970
              },
              {
                "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 '445729005' is not valid in the system http://snomed.info/sct version 4.0.1 (445729005)"
            },
            "expression": [
              "ValueSet/R4-animal-breeds-for-R4B: ValueSet.compose.include[0].concept[684]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-animal-genderstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-animal-genderstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-animal-species-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-animal-species-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": 2593
              },
              {
                "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 '15778005' is not valid in the system http://snomed.info/sct version 4.0.1 (15778005)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R4B: ValueSet.compose.include[0].concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-appointment-cancellation-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-appointment-cancellation-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-appointment-cancellation-reason-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": 2269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.0.1', found versions: 2.1.1, 4.0.1. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason' to 'http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason|4.0.1'"
            },
            "expression": [
              "ValueSet/R4-appointment-cancellation-reason-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason' which has status 'example'"
            },
            "expression": [
              "ValueSet/R4-appointment-cancellation-reason-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-appointmentstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-appointmentstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-approach-site-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-approach-site-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-assert-direction-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-assert-direction-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-assert-operator-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-assert-operator-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-assert-response-code-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-assert-response-code-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-asset-availability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-asset-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": 2755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-asset-availability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-entity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 38492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-audit-entity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-audit-event-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-audit-event-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-sub-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 24341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 30819
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-audit-event-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-source-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-audit-source-type-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4945
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-audit-source-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-basic-resource-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-basic-resource-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-basic-resource-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-benefit-network-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-benefit-network-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-benefit-network-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-benefit-term-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-benefit-term-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3262
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              {
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              {
                "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/R4-benefit-term-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-benefit-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-benefit-type-for-R4B",
        "issue": [
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5536
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-benefit-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-body-site-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-body-site-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-body-site-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-bodysite-laterality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-bodysite-laterality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2607
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-bodysite-laterality-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-bodystructure-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-bodystructure-code-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "ValueSet/R4-bodystructure-code-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-bodystructure-relative-location-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-bodystructure-relative-location-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3892
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-c80-doc-typecodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-c80-doc-typecodes-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196543
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-c80-doc-typecodes-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-c80-facilitycodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-c80-facilitycodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-c80-practice-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-c80-practice-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-plan-activity-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-plan-activity-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2225
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-plan-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-plan-category-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-team-category-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-team-category-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3982
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-care-team-category-for-R4B: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-certainty-subcomponent-rating-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-certainty-subcomponent-rating-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9515
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-certainty-subcomponent-type-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-certainty-subcomponent-type-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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"
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-choice-list-orientation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-choice-list-orientation-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-choice-list-orientation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-informationcategory-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 6343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-claim-informationcategory-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-modifiers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-claim-modifiers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-claim-subtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-claim-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-claim-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinical-findings-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-clinical-findings-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinicalimpression-prognosis-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-clinicalimpression-prognosis-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinicalimpression-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-clinicalimpression-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": 2799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-clinicalimpression-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinvar-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-clinvar-for-R4B",
        "issue": [
          {
            "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": "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/R4-clinvar-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": 2216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R4-clinvar-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://www.ncbi.nlm.nih.gov/clinvar"
            },
            "expression": [
              "ValueSet.where(id = 'R4-clinvar-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-code-search-support-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-code-search-support-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-codesystem-altcode-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-codesystem-altcode-kind-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-codesystem-content-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-codesystem-content-mode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-codesystem-hierarchy-meaning-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-codesystem-hierarchy-meaning-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-common-tags-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-common-tags-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-communication-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-communication-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-communication-not-done-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-communication-not-done-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-communication-topic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-communication-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": 4247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-communication-topic-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-compartment-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-compartment-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composite-measure-scoring-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-composite-measure-scoring-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composition-altcode-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-composition-altcode-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": 6015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-composition-altcode-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composition-attestation-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composition-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-composition-status-for-R4B",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3591
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-composition-status-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-concept-map-equivalence-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-concept-map-equivalence-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-concept-map-equivalence-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-concept-property-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-concept-property-type-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-concept-subsumption-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-concept-subsumption-outcome-for-R4B"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-conceptmap-unmapped-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conceptmap-unmapped-mode-for-R4B"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-category-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-cause-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-cause-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-clinical-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-clinical-for-R4B",
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            ],
            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-code-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-outcome-for-R4B",
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
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            "expression": [
              "ValueSet/R4-condition-outcome-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-predecessor-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-predecessor-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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            ],
            "severity": "warning",
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            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-severity-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-stage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-stage-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-stage-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-stage-type-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-state-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-ver-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-ver-status-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-conditional-delete-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conditional-delete-status-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-conditional-read-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conditional-read-status-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "ValueSet/R4-conditional-read-status-for-R4B: ValueSet"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-conformance-expectation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conformance-expectation-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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            ],
            "severity": "warning",
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-category-for-R4B",
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        "resourceType": "OperationOutcome",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/consentcategorycodes'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.0.1', found versions: 1.0.1, 4.0.1. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/consentcategorycodes' to 'http://terminology.hl7.org/CodeSystem/consentcategorycodes|4.0.1'"
            },
            "expression": [
              "ValueSet/R4-consent-category-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-content-class-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-consent-content-class-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": 2957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/resource-types'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 4.0.1, 4.3.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/resource-types' to 'http://hl7.org/fhir/resource-types|4.3.0'"
            },
            "expression": [
              "ValueSet/R4-consent-content-class-for-R4B: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Unable to expand included value set 'http://hl7.org/fhir/ValueSet/formatcodes': Unable to expand imported value set: Error from https://tx.fhir.org/r4: Unable to provide support for code system http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem (and Error from https://tx.fhir.org/r4: Unable to provide support for code system http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)"
            },
            "expression": [
              "ValueSet.where(id = 'R4-consent-content-class-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-content-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R4-consent-content-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-performer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-performer-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-consent-performer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consistency-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-consistency-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contact-point-system-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-contact-point-system-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contact-point-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-contact-point-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contactentity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contactentity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-container-cap-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-container-cap-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-container-cap-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-container-material-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-container-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": 2565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-container-material-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-actionstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-actionstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-actionstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-actorrole-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-contract-actorrole-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-assetscope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-assetscope-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-assetscope-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-assettype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-assettype-for-R4B",
        "issue": [
          {
            "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": "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/R4-contract-assettype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-data-meaning-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-data-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": 4988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-data-meaning-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-legalstate-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-legalstate-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-legalstate-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-party-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-party-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": 2769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-party-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-publicationstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-publicationstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-publicationstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-scope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-scope-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-contract-scope-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-security-classification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-security-classification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2947
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-contract-security-classification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-signer-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 21260
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-contract-signer-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7945
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-contract-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-subtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-term-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-term-subtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-term-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-term-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contributor-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-contributor-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-copy-number-event-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4-copy-number-event-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-cosmic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-cosmic-for-R4B",
        "issue": [
          {
            "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": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://cancer.sanger.ac.uk/cancergenome/projects/cosmic'"
            },
            "expression": [
              "ValueSet/R4-cosmic-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": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-cosmic-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://cancer.sanger.ac.uk/cancergenome/projects/cosmic"
            },
            "expression": [
              "ValueSet.where(id = 'R4-cosmic-for-R4B')"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-class-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverage-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": 5352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-coverage-class-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-copay-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverage-copay-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": 5448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-coverage-copay-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-financial-exception-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverage-financial-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": 3033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-coverage-financial-exception-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-selfpay-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-coverage-selfpay-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 30456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-coverage-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverageeligibilityresponse-ex-auth-support-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverageeligibilityresponse-ex-auth-support-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-coverageeligibilityresponse-ex-auth-support-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-cpt-all-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2134
              },
              {
                "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/R4-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": 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": [
              "ValueSet/R4-cpt-all-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-currencies-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-currencies-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 8987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 9869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
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            ]
          },
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
            },
            "expression": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-for-R4B: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 10412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 10504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-for-R4B: ValueSet.expansion.contains[16].system"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-for-R4B: ValueSet.expansion.contains[17].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-for-R4B: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-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": 10981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-for-R4B: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
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            "code": "invalid",
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
            },
            "expression": [
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
            "details": {
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            "expression": [
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
            "details": {
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            "expression": [
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          {
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              {
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-data-absent-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-data-absent-reason-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-data-absent-reason-for-R4B: ValueSet"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-data-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-data-types-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dataelement-sdcobjectclass-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dataelement-sdcobjectclassproperty-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-days-of-week-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-days-of-week-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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        ]
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    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
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            "expression": [
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            "extension": [
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                "valueString": "InstanceValidator"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
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            "expression": [
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                "valueString": "TerminologyEngine"
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            ],
            "severity": "warning",
            "code": "exception",
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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      "resource": {
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        "id": "ValueSet-R4-definition-resource-types-for-R4B"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-definition-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-definition-status-for-R4B: ValueSet"
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-definition-topic-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-definition-use-for-R4B",
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        "resourceType": "OperationOutcome",
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-designation-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-designation-use-for-R4B"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-detectedissue-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-detectedissue-category-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-detectedissue-mitigation-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-detectedissue-mitigation-action-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            ],
            "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/R4-detectedissue-mitigation-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-detectedissue-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-detectedissue-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-device-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-component-property-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-component-property-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-device-component-property-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-definition-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-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": 3779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-device-definition-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-device-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-nametype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-nametype-for-R4B",
        "issue": [
          {
            "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": "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/R4-device-nametype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-safety-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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/R4-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#4.0.1' 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 '4.0.1' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4-device-safety-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-statement-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-device-statement-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-device-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-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": 4539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-device-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-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": 2089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-device-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-devicemetric-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-devicemetric-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnosis-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-diagnosis-role-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnostic-based-on-snomed-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-diagnostic-based-on-snomed-for-R4B",
        "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": "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/R4-diagnostic-based-on-snomed-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnostic-report-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-diagnostic-report-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnostic-service-sections-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 11772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-diagnostic-service-sections-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dicm-405-mediatype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 7389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-dicm-405-mediatype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dicom-cid-29-AcquisitionModality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dicom-cid-29-AcquisitionModality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-dicom-cid-29-AcquisitionModality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diet-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-diet-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-discriminator-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-discriminator-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-distance-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-distance-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": 2538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-distance-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-doc-section-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 10947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-doc-section-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-doc-typecodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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/R4-doc-typecodes-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-classcodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-document-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": 9541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-document-classcodes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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": [
              "ValueSet/R4-document-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-reference-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-document-reference-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-document-relationship-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dose-rate-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dose-rate-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": 2778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-dose-rate-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-duration-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-duration-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": 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": [
              "ValueSet/R4-duration-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-effect-estimate-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-effect-estimate-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": 6771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-effect-estimate-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-eligibilityrequest-purpose-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-eligibilityrequest-purpose-for-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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-eligibilityrequest-purpose-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-eligibilityresponse-purpose-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-eligibilityresponse-purpose-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3674
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-eligibilityresponse-purpose-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-encounter-admit-source-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-encounter-admit-source-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-encounter-diet-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-encounter-diet-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-encounter-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-encounter-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-endpoint-payload-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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_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/R4-endpoint-payload-type-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": 3465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/R4-endpoint-payload-type-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": 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_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/R4-endpoint-payload-type-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": 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_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/R4-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": 3814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/R4-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": 3884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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#4.0.1' 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 '4.0.1' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4-endpoint-payload-type-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ensembl-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ensembl-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/R4-ensembl-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": 2180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-ensembl-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 = 'R4-ensembl-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-entformula-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 20838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-entformula-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-or-request-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-event-or-request-resource-types-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-event-resource-types-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-event-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-timing-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 10167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-event-timing-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-evidence-quality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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": [
              "ValueSet/R4-evidence-quality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-evidence-variant-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-evidence-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": 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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-evidence-variant-state-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-benefitcategory-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-benefitcategory-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-ex-benefitcategory-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-diagnosis-on-admission-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-diagnosis-on-admission-for-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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-diagnosis-on-admission-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-diagnosisrelatedgroup-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-diagnosisrelatedgroup-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-diagnosistype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-ex-diagnosistype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-onsettype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-onsettype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-payee-resource-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-payee-resource-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-paymenttype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-ex-paymenttype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-procedure-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-procedure-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": 2886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-ex-procedure-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-program-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-program-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-revenue-center-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-revenue-center-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-expansion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-example-expansion-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-extensional-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-example-extensional-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-filter-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-example-filter-for-R4B",
        "issue": [
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-example-filter-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": 2364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/CodeSystem/example'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 4.0.1, 4.3.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/CodeSystem/example' to 'http://hl7.org/fhir/CodeSystem/example|4.3.0'"
            },
            "expression": [
              "ValueSet/R4-example-filter-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unsupported property value for a CodeSystem Property: boolean (and Error from https://tx.fhir.org/r4: The filter \"acme-plasma = true\" from the value set http://hl7.org/fhir/4.0/ValueSet/R4-example-filter-for-R4B was not understood in the context of http://hl7.org/fhir/CodeSystem/example (3))"
            },
            "expression": [
              "ValueSet.where(id = 'R4-example-filter-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-hierarchical-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-example-hierarchical-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3618
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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": 4047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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": 4146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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": 4255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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": 4368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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": 4469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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": 4568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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": 4632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-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://hl7.org/fhir/hacked#4.0.1' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://hl7.org/fhir/hacked' version '4.0.1' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-intensional-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-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/R4-example-intensional-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-examplescenario-actor-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-examplescenario-actor-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": 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/R4-examplescenario-actor-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-expansion-parameter-source-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-expansion-parameter-source-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-expansion-processing-rule-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-expansion-processing-rule-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-explanationofbenefit-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-explanationofbenefit-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-exposure-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-exposure-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": 3434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-exposure-state-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-expression-language-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-expression-language-for-R4B",
        "issue": [
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-expression-language-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-extension-context-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-extension-context-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": 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/R4-extension-context-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-feeding-device-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-feeding-device-for-R4B",
        "issue": [
          {
            "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": "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/R4-feeding-device-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": 2538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/feeding-device'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 4.3.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/feeding-device' to 'http://hl7.org/fhir/feeding-device|5.2.0'"
            },
            "expression": [
              "ValueSet/R4-feeding-device-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-filter-operator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-filter-operator-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-financial-taskcode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-financial-taskcode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-financial-taskcode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-financial-taskinputtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-financial-taskinputtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-financial-taskinputtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-flag-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-flag-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-fm-conditions-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-fm-conditions-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-fm-itemtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-fm-itemtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-food-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-food-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-formatcodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 5443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 5579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 5715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 5851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 6011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 6185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 6347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 6510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-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": 6613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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 'http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem#4.0.1' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem' version '4.0.1' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4-formatcodes-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-genenames-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-genenames-for-R4B",
        "issue": [
          {
            "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-genenames-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": 2194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://www.genenames.org' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R4-genenames-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://www.genenames.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4-genenames-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-acceptance-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-goal-acceptance-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-goal-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-goal-relationship-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-start-event-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-goal-start-event-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 7757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-goal-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-hl7-work-group-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 17524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-hl7-work-group-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-icd-10-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-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": 3434
              },
              {
                "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 4.0.1 (123456)"
            },
            "expression": [
              "ValueSet/R4-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": 3472
              },
              {
                "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 4.0.1 (123457)"
            },
            "expression": [
              "ValueSet/R4-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": 3509
              },
              {
                "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 4.0.1 (987654)"
            },
            "expression": [
              "ValueSet/R4-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": 3546
              },
              {
                "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 4.0.1 (123987)"
            },
            "expression": [
              "ValueSet/R4-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": 3583
              },
              {
                "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 4.0.1 (112233)"
            },
            "expression": [
              "ValueSet/R4-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": 3620
              },
              {
                "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 4.0.1 (997755)"
            },
            "expression": [
              "ValueSet/R4-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": 3657
              },
              {
                "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 4.0.1 (321789)"
            },
            "expression": [
              "ValueSet/R4-icd-10-for-R4B: ValueSet.compose.include[0].concept[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-evaluation-target-disease-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-evaluation-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": 3665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-immunization-evaluation-target-disease-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-immunization-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-date-criterion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-recommendation-date-criterion-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-recommendation-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": 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 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-recommendation-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-immunization-recommendation-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-target-disease-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-immunization-recommendation-target-disease-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-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": 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 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-status-reason-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": 3788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-ActReason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.1.0', found versions: 2018-08-12, 3.1.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-ActReason' to 'http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0'"
            },
            "expression": [
              "ValueSet/R4-immunization-status-reason-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-target-disease-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-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": 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 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-target-disease-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-implantStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-implantStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-implantStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-inactive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-inactive-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-instance-availability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-instance-availability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-insuranceplan-applicability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-insuranceplan-applicability-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-insuranceplan-applicability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-insuranceplan-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-insuranceplan-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-insuranceplan-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": 2129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/insurance-plan-type'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.0.1', found versions: 2.0.1, 4.0.1. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/insurance-plan-type' to 'http://terminology.hl7.org/CodeSystem/insurance-plan-type|4.0.1'"
            },
            "expression": [
              "ValueSet/R4-insuranceplan-type-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-intervention-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-intervention-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-investigation-sets-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-investigation-sets-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-invoice-priceComponentType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-invoice-priceComponentType-for-R4B",
        "issue": [
          {
            "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-invoice-priceComponentType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-invoice-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-invoice-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": 3222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-invoice-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-iso3166-1-2-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-iso3166-1-2-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-iso3166-1-2-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-iso3166-1-3-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-iso3166-1-3-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-iso3166-1-3-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-iso3166-1-N-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-iso3166-1-N-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-iso3166-1-N-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-issue-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-issue-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-issue-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 11390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-issue-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-item-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 6506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-item-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-jurisdiction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-jurisdiction-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-knowledge-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-knowledge-resource-types-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-language-preference-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-language-preference-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-language-preference-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-languages-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-languages-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-manifestation-or-symptom-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-manifestation-or-symptom-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-marital-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-marital-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-match-grade-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-match-grade-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-media-modality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-media-modality-for-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_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/R4-media-modality-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": 2330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-media-modality-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/R4-media-modality-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 = 'R4-media-modality-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-media-view-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-media-view-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-as-needed-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-medication-as-needed-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4-medication-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-form-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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/R4-medication-form-codes-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-message-events-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-message-events-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": 2066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/message-events'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 4.0.1, 4.3.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/message-events' to 'http://hl7.org/fhir/message-events|4.3.0'"
            },
            "expression": [
              "ValueSet/R4-message-events-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-modified-foodtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-modified-foodtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-nutrient-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-nutrient-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-observation-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-observation-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-observation-methods-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-observation-methods-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-operation-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-operation-outcome-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35063
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-operation-outcome-for-R4B: ValueSet"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-operation-parameter-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-operation-parameter-use-for-R4B",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-operation-parameter-use-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-oral-prosthodontic-material-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-oral-prosthodontic-material-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-oral-prosthodontic-material-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-organization-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-organization-role-for-R4B",
        "issue": [
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "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/R4-organization-role-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-organization-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-organization-type-for-R4B",
        "issue": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6050
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-organization-type-for-R4B: ValueSet"
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-orientation-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-orientation-type-for-R4B",
        "issue": [
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                "valueInteger": 2817
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              {
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              {
                "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/R4-orientation-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-parameter-group-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-parameter-group-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8090
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-parameter-group-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-parent-relationship-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-parent-relationship-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-parent-relationship-codes-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participant-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participant-role-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('394730007')"
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participantrequired-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participantrequired-for-R4B",
        "issue": [
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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/R4-participantrequired-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participation-role-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participation-role-type-for-R4B"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participationstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participationstatus-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-patient-contactrelationship-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-patient-contactrelationship-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payeetype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-payeetype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payment-adjustment-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-payment-adjustment-reason-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-payment-adjustment-reason-for-R4B: ValueSet"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payment-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-payment-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payment-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-performer-function-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-performer-function-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7743
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-performer-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-performer-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-permitted-data-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-permitted-data-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": 5045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-permitted-data-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-plan-definition-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-plan-definition-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-postal-address-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-postal-address-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-practitioner-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-practitioner-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": 2339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/practitioner-role'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.0.1', found versions: 1.0.1, 4.0.1. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/practitioner-role' to 'http://terminology.hl7.org/CodeSystem/practitioner-role|4.0.1'"
            },
            "expression": [
              "ValueSet/R4-practitioner-role-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-practitioner-specialty-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-practitioner-specialty-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-precision-estimate-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-precision-estimate-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": 4594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-precision-estimate-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-prepare-patient-prior-specimen-collection-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-prepare-patient-prior-specimen-collection-for-R4B",
        "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": "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/R4-prepare-patient-prior-specimen-collection-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-probability-distribution-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 7420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-probability-distribution-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-procedure-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-procedure-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-followup-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-procedure-followup-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-not-performed-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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/R4-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/R4-procedure-not-performed-reason-for-R4B: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-procedure-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-progress-status-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-procedure-progress-status-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-procedure-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-process-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-process-priority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-product-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-product-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": 3829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-product-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-product-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-product-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": 2779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-product-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-product-storage-scale-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-product-storage-scale-for-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/R4-product-storage-scale-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-program-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-program-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-program-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": 2007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/program'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.0.1', found versions: 1.0.1, 4.0.1. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/program' to 'http://terminology.hl7.org/CodeSystem/program|4.0.1'"
            },
            "expression": [
              "ValueSet/R4-program-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/program' which has status 'example'"
            },
            "expression": [
              "ValueSet/R4-program-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-property-representation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-property-representation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-activity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 29702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-provenance-activity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-agent-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-agent-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": 5518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-provenance-agent-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-agent-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-agent-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": 5625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-provenance-agent-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-entity-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-provenance-entity-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-history-agent-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-history-agent-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": 4844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-provenance-history-agent-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-history-record-activity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-history-record-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": 8111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-provenance-history-record-activity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provider-qualification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-provider-qualification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provider-taxonomy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provider-taxonomy-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-publication-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-publication-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-quality-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4-quality-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-quantity-comparator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-quantity-comparator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-question-max-occurs-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-question-max-occurs-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-answers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-questionnaire-answers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-answers-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-questionnaire-answers-status-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-category-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "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 4.0.1 (273601006)"
            },
            "expression": [
              "ValueSet/R4-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[0]"
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                "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 4.0.1 (273820006)"
            },
            "expression": [
              "ValueSet/R4-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[1]"
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                "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 4.0.1 (273479001)"
            },
            "expression": [
              "ValueSet/R4-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[2]"
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                "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 4.0.1 (273384008)"
            },
            "expression": [
              "ValueSet/R4-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[3]"
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                "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 4.0.1 (304784009)"
            },
            "expression": [
              "ValueSet/R4-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[4]"
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      }
    },
    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-enable-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-questionnaire-enable-behavior-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-enable-operator-for-R4B",
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        "resourceType": "OperationOutcome",
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          {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
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            },
            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-item-control-for-R4B",
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        "resourceType": "OperationOutcome",
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            ],
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            "expression": [
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    },
    {
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            ],
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    {
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            ],
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaireresponse-mode-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reaction-event-certainty-for-R4B",
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        "resourceType": "OperationOutcome",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reaction-event-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reason-medication-given-codes-for-R4B",
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        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reason-medication-not-given-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reason-medication-status-codes-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('410684002')"
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-recommendation-strength-for-R4B",
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        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
              "ValueSet/R4-recommendation-strength-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ref-sequences-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ref-sequences-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/R4-ref-sequences-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": 2260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-ref-sequences-for-R4B: ValueSet"
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          },
          {
            "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.ncbi.nlm.nih.gov/nuccore"
            },
            "expression": [
              "ValueSet.where(id = 'R4-ref-sequences-for-R4B')"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reference-handling-policy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-reference-handling-policy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/R4-reference-handling-policy-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reference-version-rules-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-reference-version-rules-for-R4B",
        "issue": [
          {
            "extension": [
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              },
              {
                "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/R4-reference-version-rules-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-referencerange-appliesto-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-referencerange-appliesto-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-referencerange-appliesto-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-referencerange-meaning-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-referencerange-meaning-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-referencerange-meaning-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-rejection-criteria-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-rejection-criteria-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-rejection-criteria-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-related-artifact-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-related-artifact-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-related-artifact-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-related-claim-relationship-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-related-claim-relationship-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-related-claim-relationship-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-relatedperson-relationshiptype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-relatedperson-relationshiptype-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41189
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-relatedperson-relationshiptype-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-relation-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-relation-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2805
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-relationship-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3847
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-remittance-outcome-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-action-result-codes-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-codes-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueInteger": 2216
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-participant-type-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-report-participant-type-for-R4B",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-result-codes-for-R4B",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-status-codes-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-repository-type-for-R4B",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            ],
            "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/R4-repository-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-request-intent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-request-intent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5487
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-request-intent-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-request-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-request-priority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3296
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-request-priority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-request-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-request-resource-types-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-request-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-request-status-for-R4B",
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-request-status-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-element-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-research-element-type-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
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                "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/R4-research-element-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-objective-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-research-study-objective-type-for-R4B",
        "issue": [
          {
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              {
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              {
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                "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": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-phase-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-research-study-phase-for-R4B",
        "issue": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-prim-purp-type-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-research-study-prim-purp-type-for-R4B",
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              {
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              {
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                "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-reason-stopped-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-research-study-reason-stopped-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-research-study-reason-stopped-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-subject-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-aggregation-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-aggregation-mode-for-R4B",
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-security-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-slicing-rules-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-status-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-type-link-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-type-link-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-types-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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    },
    {
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            ],
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-response-code-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-restful-capability-mode-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/R4-restful-capability-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-restful-security-service-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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": [
              "ValueSet/R4-restful-security-service-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-risk-estimate-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-risk-estimate-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": 5901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-risk-estimate-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-risk-probability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-risk-probability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-route-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-route-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-comparator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-search-comparator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-entry-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-search-entry-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-modifier-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-search-modifier-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-param-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-search-param-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-xpath-usage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-search-xpath-usage-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-secondary-finding-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-secondary-finding-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-secondary-finding-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-security-labels-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-security-labels-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-security-role-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-security-role-type-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-quality-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-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/R4-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/R4-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 = 'R4-sequence-quality-method-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-quality-standardSequence-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-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/R4-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 = 'R4-sequence-quality-standardSequence-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-referenceSeq-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-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/R4-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/R4-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 = 'R4-sequence-referenceSeq-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-species-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-sequence-species-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-sequence-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequenceontology-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sequenceontology-for-R4B",
        "issue": [
          {
            "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": "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/R4-sequenceontology-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": 2296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://www.sequenceontology.org' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R4-sequenceontology-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://www.sequenceontology.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4-sequenceontology-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-series-performer-function-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-series-performer-function-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-series-performer-function-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-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": 2105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/service-category'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.0.1', found versions: 1.1.1, 4.0.1. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/service-category' to 'http://terminology.hl7.org/CodeSystem/service-category|4.0.1'"
            },
            "expression": [
              "ValueSet/R4-service-category-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/service-category' which has status 'example'"
            },
            "expression": [
              "ValueSet/R4-service-category-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-modifiers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-service-modifiers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-pharmacy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-service-pharmacy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-place-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-service-place-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-product-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-service-product-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-provision-conditions-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-service-provision-conditions-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-referral-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-service-referral-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-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": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/service-type'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.0.1', found versions: 1.1.1, 4.0.1. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/service-type' to 'http://terminology.hl7.org/CodeSystem/service-type|4.0.1'"
            },
            "expression": [
              "ValueSet/R4-service-type-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/service-type' which has status 'example'"
            },
            "expression": [
              "ValueSet/R4-service-type-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-uscls-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 7257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-service-uscls-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-servicerequest-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-servicerequest-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": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-servicerequest-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-servicerequest-orderdetail-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-servicerequest-orderdetail-for-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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-servicerequest-orderdetail-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sibling-relationship-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 16081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-sibling-relationship-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-signature-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 10377
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-signature-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-slotstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-slotstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-smart-capabilities-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-smart-capabilities-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-smart-capabilities-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-spdx-license-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-spdx-license-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 75222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-spdx-license-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-special-values-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-special-values-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-collection-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-collection-for-R4B",
        "issue": [
          {
            "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-specimen-collection-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-collection-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-specimen-collection-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-collection-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-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#4.0.1' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://example.com' version '4.0.1' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4-specimen-collection-priority-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-contained-preference-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-contained-preference-for-R4B",
        "issue": [
          {
            "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-specimen-contained-preference-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-container-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-specimen-container-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-processing-procedure-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-specimen-processing-procedure-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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/R4-specimen-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-standards-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-standards-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": 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": [
              "ValueSet/R4-standards-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-strand-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-strand-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": 2721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-strand-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-structure-definition-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-structure-definition-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-study-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-study-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": 2752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-study-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subject-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subject-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": 3456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-subject-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscriber-relationship-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscriber-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": 2957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-subscriber-relationship-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscription-channel-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscription-channel-type-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-subscription-channel-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscription-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscription-status-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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": [
              "ValueSet/R4-subscription-status-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscription-tag-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscription-tag-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-subscription-tag-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-substance-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-substance-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R4-substance-category-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-substance-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-substance-code-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
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                "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/R4-substance-code-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-substance-status-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-substance-status-for-R4B",
        "issue": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supplement-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supplement-type-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-supplement-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supply-item-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supply-item-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "ValueSet/R4-supply-item-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supplydelivery-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supplydelivery-status-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supplyrequest-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supplyrequest-status-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-system-restful-interaction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-system-restful-interaction-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-task-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-task-code-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-task-intent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-task-intent-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-task-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-teeth-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-teeth-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-template-status-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-testscript-operation-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-testscript-operation-codes-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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            ],
            "severity": "warning",
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-testscript-profile-destination-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-testscript-profile-destination-types-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-texture-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-texture-code-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-texture-code-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-timezones-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-timezones-for-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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-timezones-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-timing-abbreviation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-timing-abbreviation-for-R4B",
        "issue": [
          {
            "extension": [
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                "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": [
              "ValueSet/R4-timing-abbreviation-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-tooth-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-tooth-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-tooth-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-transaction-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-transaction-mode-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-transaction-mode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-trigger-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-trigger-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-trigger-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-type-derivation-rule-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-type-derivation-rule-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2857
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-type-derivation-rule-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-type-restful-interaction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-type-restful-interaction-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-type-restful-interaction-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ucum-bodylength-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ucum-bodylength-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-ucum-bodylength-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ucum-bodytemp-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ucum-bodytemp-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R4-ucum-bodytemp-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ucum-bodyweight-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ucum-bodyweight-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-ucum-bodyweight-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ucum-common-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 144850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-ucum-common-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-udi-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-udi-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-udi-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-unknown-content-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-unknown-content-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-unknown-content-code-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-use-context-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_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/R4-use-context-for-R4B: ValueSet.compose.include[0].valueSet[0]"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-use-context-for-R4B: ValueSet"
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          },
          {
            "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/R4-use-context-for-R4B: ValueSet.compose.include[0].valueSet[0]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/usps-state'"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0001-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0001-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0001-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0002-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 8789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0002-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0004-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0004-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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    },
    {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0917-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0918-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0918-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0919-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0920-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0920-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0921-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0921-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0922-for-R4B",
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        "resourceType": "OperationOutcome",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0922-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0923-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0923-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0923-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0924-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0924-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0925-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0925-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0925-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0926-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0926-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0927-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0927-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0927-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0933-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0933-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0933-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0935-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 6399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0935-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.1-0006-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-2.1-0006-for-R4B: ValueSet"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_2"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '2.1' should be in the version property, but that already contains '0006'"
            },
            "expression": [
              "ValueSet/R4-v2-2.1-0006-for-R4B: ValueSet.compose.include[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.3.1-0360-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-2.3.1-0360-for-R4B",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-2.3.1-0360-for-R4B: ValueSet"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_2"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '2.3.1' should be in the version property, but that already contains '0360'"
            },
            "expression": [
              "ValueSet/R4-v2-2.3.1-0360-for-R4B: ValueSet.compose.include[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.4-0006-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 43489
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-2.4-0006-for-R4B: ValueSet"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_2"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '2.4' should be in the version property, but that already contains '0006'"
            },
            "expression": [
              "ValueSet/R4-v2-2.4-0006-for-R4B: ValueSet.compose.include[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.4-0391-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-2.4-0391-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": 4756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_2"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '2.4' should be in the version property, but that already contains '0391'"
            },
            "expression": [
              "ValueSet/R4-v2-2.4-0391-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.6-0391-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 63626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-2.6-0391-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": 49136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_2"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '2.6' should be in the version property, but that already contains '0391'"
            },
            "expression": [
              "ValueSet/R4-v2-2.6-0391-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.7-0360-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 31798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-v2-2.7-0360-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": 23938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_3"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '2.7' is already in the version property"
            },
            "expression": [
              "ValueSet/R4-v2-2.7-0360-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-4000-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-4000-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementCondition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementCondition-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementDetailCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementDetailCode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementDetailType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementDetailType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ActClass-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassClinicalDocument-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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": [
              "ValueSet/R4-v3-ActClassClinicalDocument-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassDocument-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-v3-ActClassDocument-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassInvestigation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-v3-ActClassInvestigation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassObservation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 38220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ActClassObservation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassProcedure-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ActClassProcedure-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassROI-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ActClassROI-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassSupply-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-v3-ActClassSupply-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActConsentType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 9048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ActConsentType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActCoverageTypeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 55467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ActCoverageTypeCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActExposureLevelCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ActExposureLevelCode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActInvoiceElementModifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ActInvoiceElementModifier-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActInvoiceGroupCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 15979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ActInvoiceGroupCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActMood-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ActMood-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActMoodIntent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 10255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ObligationPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationCategory-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationCategory-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationInterpretation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationInterpretation-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationMethod-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationMethod-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ObservationType-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": 2514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-ActCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '9.0.0', found versions: 2018-08-12, 9.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-ActCode' to 'http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0'"
            },
            "expression": [
              "ValueSet/R4-v3-ObservationType-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationValue-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationFunction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationFunction-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationIndirectTarget-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 9298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationIndirectTarget-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationInformationGenerator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 7346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationInformationGenerator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationInformationTranscriber-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationInformationTranscriber-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationPhysicalPerformer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 6072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationPhysicalPerformer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationSignature-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationSignature-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationTargetDirect-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 16483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationTargetDirect-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationTargetLocation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 6630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationTargetLocation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationTargetSubject-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationTargetSubject-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationVerifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 4710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ParticipationVerifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-PatientImportance-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-PatientImportance-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-PaymentTerms-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-PaymentTerms-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-PersonDisabilityType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-PersonDisabilityType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-PersonalRelationshipRoleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 75840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-PersonalRelationshipRoleType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ProbabilityDistributionType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ProbabilityDistributionType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ProcessingID-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ProcessingID-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ProcessingMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ProcessingMode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ProvenanceEventCurrentState-AS-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 6106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ProvenanceEventCurrentState-AS-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ProvenanceEventCurrentState-DC-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 6396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ProvenanceEventCurrentState-DC-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ProvenanceEventCurrentState-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 10138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ProvenanceEventCurrentState-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-PurposeOfUse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-v3-PurposeOfUse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-QueryParameterValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-QueryParameterValue-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-QueryPriority-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-SeverityObservation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-SpecimenType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-SpecimenType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-SubstitutionCondition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-SubstitutionCondition-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TableCellHorizontalAlign-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TableCellHorizontalAlign-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TableCellScope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TableCellScope-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TableCellVerticalAlign-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TableCellVerticalAlign-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TableFrame-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TableFrame-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TableRules-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TableRules-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TargetAwareness-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TargetAwareness-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TelecommunicationCapabilities-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TelecommunicationCapabilities-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TimingEvent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TimingEvent-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TransmissionRelationshipTypeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TransmissionRelationshipTypeCode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-TribalEntityUS-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-TribalEntityUS-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-VaccineManufacturer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-VaccineManufacturer-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-VerificationMethod-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 5306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-VerificationMethod-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-WorkClassificationODH-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-WorkClassificationODH-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-WorkScheduleODH-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-WorkScheduleODH-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-WorkScheduleODH-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-employmentStatusODH-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-employmentStatusODH-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-employmentStatusODH-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7ApprovalStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7ApprovalStatus-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7CMETAttribution-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7CMETAttribution-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7ITSType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7ITSType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7ITSVersionCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7ITSVersionCode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7PublishingDomain-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7PublishingDomain-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7PublishingSection-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7PublishingSection-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7PublishingSubSection-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7PublishingSubSection-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7Realm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7Realm-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7V3Conformance-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7V3Conformance-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-hl7VoteResolution-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-hl7VoteResolution-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-orderableDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-orderableDrugForm-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-policyHolderRole-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-policyHolderRole-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-styleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-styleType-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-substanceAdminSubstitution-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-substanceAdminSubstitution-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-triggerEventID-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-triggerEventID-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-xBasicConfidentialityKind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 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/R4-v3-xBasicConfidentialityKind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-vaccine-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 2231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-vaccine-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-variant-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-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": 3975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-variant-state-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-variants-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-variants-for-R4B",
        "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": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://varnomen.hgvs.org/'"
            },
            "expression": [
              "ValueSet/R4-variants-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": 2151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R4-variants-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://varnomen.hgvs.org/"
            },
            "expression": [
              "ValueSet.where(id = 'R4-variants-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-designation-usage"
      }
    }
  ]
}