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Packagehl7.fhir.uv.xver-r4.r5
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-09-13T16:32:59.214-04:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ImplementationGuide-hl7.fhir.uv.xver-r4.r5",
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        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.uv.xver-r4.r5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1258288
              },
              {
                "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 'no-expansions-files' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r4.r5: ImplementationGuide.definition.parameter[17].code.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1258400
              },
              {
                "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 'no-ig-database' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r4.r5: ImplementationGuide.definition.parameter[18].code.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "valueInteger": 1263082
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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": [
              "ImplementationGuide/hl7.fhir.uv.xver-r4.r5: ImplementationGuide"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ActivityDefinition.location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ActivityDefinition.location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-ActivityDefinition.location: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-ActivityDefinition.location vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ActivityDefinition.location"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ActivityDefinition.location"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ActivityDefinition.oRR",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ActivityDefinition.oRR",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ActivityDefinition.oRR: StructureDefinition"
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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/StructureDefinition/ext-R4-ActivityDefinition.oRR vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ActivityDefinition.observationResultRequirement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ActivityDefinition.oRR"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ActivityDefinition.observationRequirement",
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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": 18741
              },
              {
                "url": "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": [
              "StructureDefinition/ext-R4-ActivityDefinition.observationRequirement: StructureDefinition"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ActivityDefinition.observationRequirement vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ActivityDefinition.observationRequirement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ActivityDefinition.observationRequirement"
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          }
        ]
      }
    },
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ActivityDefinition.specimenRequirement",
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        "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": 18672
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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/ext-R4-ActivityDefinition.specimenRequirement: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-ActivityDefinition.specimenRequirement vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ActivityDefinition.specimenRequirement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ActivityDefinition.specimenRequirement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ActivityDefinition.subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ActivityDefinition.subject",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ActivityDefinition.subject: StructureDefinition"
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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/StructureDefinition/ext-R4-ActivityDefinition.subject vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ActivityDefinition.subject"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ActivityDefinition.timing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ActivityDefinition.timing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ActivityDefinition.timing: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-ActivityDefinition.timing vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ActivityDefinition.timing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ActivityDefinition.timing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-AdverseEvent.contributor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-AdverseEvent.contributor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20221
              },
              {
                "url": "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": [
              "StructureDefinition/ext-R4-AdverseEvent.contributor: StructureDefinition"
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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/StructureDefinition/ext-R4-AdverseEvent.contributor vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.contributor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-AdverseEvent.contributor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-AdverseEvent.outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-AdverseEvent.outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-AdverseEvent.outcome: StructureDefinition"
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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/StructureDefinition/ext-R4-AdverseEvent.outcome vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-AdverseEvent.outcome"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-AdverseEvent.referenceDocument",
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-AdverseEvent.referenceDocument",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17552
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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",
            "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-AdverseEvent.referenceDocument: StructureDefinition"
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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/StructureDefinition/ext-R4-AdverseEvent.referenceDocument vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.referenceDocument"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-AdverseEvent.referenceDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-AdverseEvent.severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-AdverseEvent.severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19536
              },
              {
                "url": "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": [
              "StructureDefinition/ext-R4-AdverseEvent.severity: StructureDefinition"
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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/StructureDefinition/ext-R4-AdverseEvent.severity vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-AdverseEvent.severity"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-AdverseEvent.su.causality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-AdverseEvent.su.causality",
        "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",
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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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            },
            "expression": [
              "StructureDefinition/ext-R4-AdverseEvent.su.causality: StructureDefinition"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-AdverseEvent.su.causality vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causality"
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            "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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            "code": "business-rule",
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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-AdverseEvent.subjectMedicalHistory vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.subjectMedicalHistory"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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-AllergyIntolerance.asserter vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AllergyIntolerance.asserter"
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            "expression": [
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            "details": {
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    {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
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            "expression": [
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          }
        ]
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    },
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
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    },
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        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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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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            },
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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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            "expression": [
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    },
    {
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              {
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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-Appointment.patientInstruction vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Appointment.patientInstruction"
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            "expression": [
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          }
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    {
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      "resource": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Appointment.priority vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Appointment.priority"
            },
            "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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            "expression": [
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          {
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                "valueString": "Publisher"
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            ],
            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Appointment.reasonCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Appointment.reasonCode"
            },
            "expression": [
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          }
        ]
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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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/StructureDefinition/ext-R4-Appointment.reasonReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Appointment.reasonReference"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Appointment.serviceType",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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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/StructureDefinition/ext-R4-Appointment.serviceType vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Appointment.serviceType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Appointment.serviceType"
            ]
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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-AuditEvent.ag.name vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.agent.name"
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            "expression": [
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-AuditEvent.ag.network",
      "resource": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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-AuditEvent.ag.network vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.agent.network"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-AuditEvent.ag.network"
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          }
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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/StructureDefinition/ext-R4-AuditEvent.en.de.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.entity.detail.type"
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            "expression": [
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      "resource": {
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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-AuditEvent.en.description vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.entity.description"
            },
            "expression": [
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          }
        ]
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    {
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        "issue": [
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-AuditEvent.en.lifecycle vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.entity.lifecycle"
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            "expression": [
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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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            },
            "expression": [
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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/StructureDefinition/ext-R4-AuditEvent.en.name vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.entity.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-AuditEvent.en.name"
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          }
        ]
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19195
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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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            "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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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/object-role|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
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          {
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                "valueString": "InstanceValidator"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
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            "details": {
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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/StructureDefinition/ext-R4-AuditEvent.en.role vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.entity.role"
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            "expression": [
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          }
        ]
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    {
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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": 19369
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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",
            "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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                "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/ext-R4-AuditEvent.en.securityLabel vs http://hl7.org/fhir/4.0/StructureDefinition/extension-AuditEvent.entity.securityLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-AuditEvent.en.securityLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-AuditEvent.en.type",
      "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": 18928
              },
              {
                "url": "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",
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            "details": {
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            "code": "business-rule",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            },
            "expression": [
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    {
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              {
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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-BodyStructure.locationQualifier vs http://hl7.org/fhir/4.0/StructureDefinition/extension-BodyStructure.locationQualifier"
            },
            "expression": [
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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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            "expression": [
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            },
            "expression": [
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          }
        ]
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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/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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            "code": "business-rule",
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            },
            "expression": [
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          }
        ]
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "error",
            "code": "business-rule",
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            },
            "expression": [
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            ]
          }
        ]
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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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            "code": "business-rule",
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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/StructureDefinition/ext-R4-CarePlan.ac.outcomeReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-CarePlan.activity.outcomeReference"
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            "expression": [
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          }
        ]
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            "expression": [
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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/StructureDefinition/ext-R4-CarePlan.ac.reference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-CarePlan.activity.reference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-CarePlan.ac.reference"
            ]
          }
        ]
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                "valueString": "InstanceValidator"
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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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          {
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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-CarePlan.addresses vs http://hl7.org/fhir/4.0/StructureDefinition/extension-CarePlan.addresses"
            },
            "expression": [
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            ]
          }
        ]
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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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/StructureDefinition/ext-R4-CareTeam.encounter vs http://hl7.org/fhir/4.0/StructureDefinition/extension-CareTeam.encounter"
            },
            "expression": [
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          }
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-CareTeam.pa.role vs http://hl7.org/fhir/4.0/StructureDefinition/extension-CareTeam.participant.role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-CareTeam.pa.role"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-CareTeam.reasonCode",
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        "issue": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            },
            "expression": [
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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-ClinicalImpression.investigation vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.investigation"
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            "expression": [
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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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                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Consent.organization vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.organization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Consent.organization"
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          }
        ]
      }
    },
    {
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      "resource": {
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                "valueInteger": 1
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              {
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                "valueInteger": 43058
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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": [
              "StructureDefinition/ext-R4-Consent.policy: StructureDefinition"
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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/StructureDefinition/ext-R4-Consent.policy vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.policy"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Consent.pr.class",
      "resource": {
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        "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",
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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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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Consent.pr.class vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.provision.class"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Consent.pr.class"
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          }
        ]
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    },
    {
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            },
            "expression": [
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "severity": "warning",
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            "details": {
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            },
            "expression": [
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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.r5/input/extensions/StructureDefinition-ext-R4-Consent.pr.type"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Consent.scope",
      "resource": {
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                "valueInteger": 1
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
            "expression": [
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                "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.r5/input/extensions/StructureDefinition-ext-R4-Consent.scope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Consent.source",
      "resource": {
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        "issue": [
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                "valueInteger": 1
              },
              {
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                "valueInteger": 25370
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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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            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Consent.source vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Consent.source"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Contract.te.ac.reason",
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Contract.te.ac.reason vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Contract.term.action.reason"
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            "expression": [
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          }
        ]
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    },
    {
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              {
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            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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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",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Contract.te.ac.reasonReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Contract.term.action.reasonReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Contract.te.ac.reasonReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Coverage.cl.value",
      "resource": {
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                "valueInteger": 1
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            "severity": "warning",
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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-Coverage.cl.value vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Coverage.class.value"
            },
            "expression": [
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            ]
          }
        ]
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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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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Coverage.payor vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Coverage.payor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Coverage.payor"
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
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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-Coverage.subscriberId vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Coverage.subscriberId"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Coverage.subscriberId"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DataRequirement.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DataRequirement.type",
        "issue": [
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                "valueInteger": 1
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              {
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                "valueInteger": 19571
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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 '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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                "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-DataRequirement.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DataRequirement.type"
            },
            "expression": [
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          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DetectedIssue.status",
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                "valueInteger": 1
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              {
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                "valueInteger": 19299
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-DetectedIssue.status: StructureDefinition"
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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-DetectedIssue.status vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DetectedIssue.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DetectedIssue.status"
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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",
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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",
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            },
            "expression": [
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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/StructureDefinition/ext-R4-Device.de.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.deviceName.type"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.definition",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4-Device.definition: StructureDefinition"
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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/StructureDefinition/ext-R4-Device.definition vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.distinctIdentifier",
      "resource": {
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          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18082
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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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-Device.distinctIdentifier: StructureDefinition"
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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/StructureDefinition/ext-R4-Device.distinctIdentifier vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.distinctIdentifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.distinctIdentifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Device.patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17498
              },
              {
                "url": "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-Device.patient: StructureDefinition"
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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-Device.patient vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.patient"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.patient"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.pr.valueCode",
      "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": 18218
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-Device.pr.valueCode: StructureDefinition"
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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/StructureDefinition/ext-R4-Device.pr.valueCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.property.valueCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.pr.valueCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.pr.valueQuantity",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18126
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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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            "code": "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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                "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/ext-R4-Device.pr.valueQuantity vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.property.valueQuantity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.pr.valueQuantity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.sp.systemType",
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        "issue": [
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              {
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                "valueInteger": 17601
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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/StructureDefinition/ext-R4-Device.sp.systemType vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.specialization.systemType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.sp.systemType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.sp.version",
      "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": 17606
              },
              {
                "url": "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-Device.sp.version: StructureDefinition"
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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/StructureDefinition/ext-R4-Device.sp.version vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.specialization.version"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.sp.version"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Device.status",
        "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": 19115
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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": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Device.status vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Device.statusReason",
      "resource": {
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        "issue": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19190
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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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          {
            "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-Device.statusReason vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Device.statusReason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Device.statusReason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.capability",
      "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": 40458
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              {
                "url": "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-DeviceDefinition.capability: StructureDefinition"
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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-DeviceDefinition.capability vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.capability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.capability"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.de.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.de.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": 20333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-DeviceDefinition.de.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-DeviceDefinition.de.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.deviceName.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.de.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.manufacturer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.manufacturer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-DeviceDefinition.manufacturer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-DeviceDefinition.manufacturer vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.manufacturer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.manufacturer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.onlineInformation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.onlineInformation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-DeviceDefinition.onlineInformation: StructureDefinition"
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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/StructureDefinition/ext-R4-DeviceDefinition.onlineInformation vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.onlineInformation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.onlineInformation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.parentDevice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.parentDevice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-DeviceDefinition.parentDevice: StructureDefinition"
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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/StructureDefinition/ext-R4-DeviceDefinition.parentDevice vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.parentDevice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.parentDevice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.physicalCharacteristics",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.physicalCharacteristics",
        "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": 145879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4-DeviceDefinition.physicalCharacteristics: StructureDefinition.snapshot.element[62]"
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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": 161928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4-DeviceDefinition.physicalCharacteristics: StructureDefinition.differential.element[36]"
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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": 162153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-DeviceDefinition.physicalCharacteristics: StructureDefinition"
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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/StructureDefinition/ext-R4-DeviceDefinition.physicalCharacteristics vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.physicalCharacteristics"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.physicalCharacteristics"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.pr.valueCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.pr.valueCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-DeviceDefinition.pr.valueCode: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-DeviceDefinition.pr.valueCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.property.valueCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.pr.valueCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.pr.valueQuantity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.pr.valueQuantity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18406
              },
              {
                "url": "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": {
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            },
            "expression": [
              "StructureDefinition/ext-R4-DeviceDefinition.pr.valueQuantity: StructureDefinition"
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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/StructureDefinition/ext-R4-DeviceDefinition.pr.valueQuantity vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.property.valueQuantity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.pr.valueQuantity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.quantity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.quantity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-DeviceDefinition.quantity: StructureDefinition"
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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/StructureDefinition/ext-R4-DeviceDefinition.quantity vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.quantity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.quantity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.shelfLifeStorage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.shelfLifeStorage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4-DeviceDefinition.shelfLifeStorage: StructureDefinition.snapshot.element[27]"
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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": 77982
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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": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4-DeviceDefinition.shelfLifeStorage: StructureDefinition.differential.element[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78200
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-DeviceDefinition.shelfLifeStorage: StructureDefinition"
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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/StructureDefinition/ext-R4-DeviceDefinition.shelfLifeStorage vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.shelfLifeStorage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.shelfLifeStorage"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.sp.systemType",
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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",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17856
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-DeviceDefinition.sp.systemType: StructureDefinition"
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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/StructureDefinition/ext-R4-DeviceDefinition.sp.systemType vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.specialization.systemType"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-DeviceDefinition.sp.systemType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-DeviceDefinition.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-DeviceDefinition.type",
        "issue": [
          {
            "extension": [
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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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            "code": "business-rule",
            "details": {
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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/StructureDefinition/ext-R4-DeviceDefinition.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.type"
            },
            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            "code": "business-rule",
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            },
            "expression": [
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-DeviceDefinition.version vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceDefinition.version"
            },
            "expression": [
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "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-DeviceRequest.performer vs http://hl7.org/fhir/4.0/StructureDefinition/extension-DeviceRequest.performer"
            },
            "expression": [
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          }
        ]
      }
    },
    {
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                "valueInteger": 1
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              {
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              {
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                "valueString": "Publisher"
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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                "valueString": "Publisher"
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            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            },
            "expression": [
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              {
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            },
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    {
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            },
            "expression": [
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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        ]
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    {
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                "valueString": "Publisher"
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            "expression": [
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    {
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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Endpoint.status vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Endpoint.status"
            },
            "expression": [
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        ]
      }
    },
    {
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                "valueInteger": 18752
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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": [
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                "valueString": "Publisher"
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            },
            "expression": [
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          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-EpisodeOfCare.di.rank",
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          }
        ]
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Evidence.copyright vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Evidence.copyright"
            },
            "expression": [
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          }
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    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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-Evidence.effectivePeriod vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Evidence.effectivePeriod"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Evidence.effectivePeriod"
            ]
          }
        ]
      }
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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.ch.timeFromStart vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.characteristic.timeFromStart"
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              {
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                "valueInteger": 17851
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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/StructureDefinition/ext-R4-EvidenceVariable.ch.usageContext vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.characteristic.usageContext"
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              {
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            "code": "business-rule",
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            },
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                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-EvidenceVariable.copyright"
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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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            ],
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            "code": "business-rule",
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            },
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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/StructureDefinition/ext-R4-EvidenceVariable.effectivePeriod vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.effectivePeriod"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-EvidenceVariable.effectivePeriod"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-EvidenceVariable.jurisdiction",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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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-EvidenceVariable.jurisdiction vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.jurisdiction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-EvidenceVariable.jurisdiction"
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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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                "valueString": "Publisher"
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            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-EvidenceVariable.lastReviewDate"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-EvidenceVariable.subtitle",
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                "valueInteger": 1
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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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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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-EvidenceVariable.subtitle vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.subtitle"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-EvidenceVariable.subtitle"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-EvidenceVariable.topic",
      "resource": {
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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": 19799
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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": [
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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-EvidenceVariable.topic vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.topic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-EvidenceVariable.topic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-EvidenceVariable.type",
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        "issue": [
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18686
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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": [
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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-EvidenceVariable.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-EvidenceVariable.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-EvidenceVariable.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ExampleScenario.in.resourceType",
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        "issue": [
          {
            "extension": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19731
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              {
                "url": "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": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-ExampleScenario.in.resourceType: StructureDefinition"
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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-ExampleScenario.in.resourceType vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ExampleScenario.instance.resourceType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ExampleScenario.in.resourceType"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ExampleScenario.pr.st.op.number",
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        "id": "StructureDefinition-ext-R4-ExampleScenario.pr.st.op.number",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueInteger": 18018
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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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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ExampleScenario.pr.st.op.number"
            ]
          }
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    {
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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": 18181
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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",
            "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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          {
            "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/StructureDefinition/ext-R4-ExampleScenario.pr.st.op.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ExampleScenario.process.step.operation.type"
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            "expression": [
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ExampleScenario.pr.st.process",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
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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": 27131
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
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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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                "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.pr.st.process vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ExampleScenario.process.step.process"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ExampleScenario.workflow"
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                "valueString": "Publisher"
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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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                "valueString": "Publisher"
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            "code": "business-rule",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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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",
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ExplanationOfBenefit.it.ad.value"
            ]
          }
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        "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": 19465
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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": [
              "StructureDefinition/ext-R4-ExplanationOfBenefit.it.bodySite: StructureDefinition"
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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-ExplanationOfBenefit.it.bodySite vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.item.bodySite"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ExplanationOfBenefit.it.bodySite"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ExplanationOfBenefit.it.subSite",
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                "valueInteger": 19046
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ExplanationOfBenefit.it.subSite vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.item.subSite"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ExplanationOfBenefit.it.subSite"
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          }
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19344
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              {
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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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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ExplanationOfBenefit.pr.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.processNote.type"
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            "expression": [
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          }
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Extension.value",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140074
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            "code": "invariant",
            "details": {
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            "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": 147097
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4-Extension.value: StructureDefinition.differential.element[12]"
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          {
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                "valueInteger": 1
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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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                "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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          }
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      }
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-FamilyMemberHistory.reasonCode",
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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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                "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-FamilyMemberHistory.reasonCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-FamilyMemberHistory.reasonCode"
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            "expression": [
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          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-FamilyMemberHistory.reasonReference",
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                "valueString": "Publisher"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              {
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            },
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            "expression": [
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    {
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            "expression": [
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            "expression": [
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          }
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-GuidanceResponse.reasonReference",
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            "code": "business-rule",
            "details": {
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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/StructureDefinition/ext-R4-ImagingStudy.reasonReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImagingStudy.reasonReference"
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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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Immunization.recorded vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.recorded"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Immunization.recorded"
            ]
          }
        ]
      }
    },
    {
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Immunization.reportOrigin",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-Immunization.reportOrigin: StructureDefinition"
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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/StructureDefinition/ext-R4-Immunization.reportOrigin vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.reportOrigin"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Immunization.reportOrigin"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ImmunizationEvaluation.doseNumber",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ImmunizationEvaluation.doseNumber",
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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": 21237
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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/ext-R4-ImmunizationEvaluation.doseNumber: StructureDefinition"
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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/StructureDefinition/ext-R4-ImmunizationEvaluation.doseNumber vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImmunizationEvaluation.doseNumber"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ImmunizationEvaluation.doseNumber"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ImmunizationEvaluation.seriesDoses",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ImmunizationEvaluation.seriesDoses",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ImmunizationEvaluation.seriesDoses: StructureDefinition"
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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/StructureDefinition/ext-R4-ImmunizationEvaluation.seriesDoses vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImmunizationEvaluation.seriesDoses"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ImmunizationEvaluation.seriesDoses"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ImplementationGuide.de.pa.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ImplementationGuide.de.pa.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": 20672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ImplementationGuide.de.pa.code: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ImplementationGuide.de.pa.code vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImplementationGuide.definition.parameter.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ImplementationGuide.de.pa.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ImplementationGuide.de.pa.name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ImplementationGuide.de.pa.name",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23515
              },
              {
                "url": "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": [
              "StructureDefinition/ext-R4-ImplementationGuide.de.pa.name: StructureDefinition"
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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/StructureDefinition/ext-R4-ImplementationGuide.de.pa.name vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImplementationGuide.definition.page.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ImplementationGuide.de.pa.name"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ImplementationGuide.de.re.example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ImplementationGuide.de.re.example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ImplementationGuide.de.re.example: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-ImplementationGuide.de.re.example vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImplementationGuide.definition.resource.example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ImplementationGuide.de.re.example"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ImplementationGuide.gl.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ImplementationGuide.gl.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-ImplementationGuide.gl.type: StructureDefinition"
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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/StructureDefinition/ext-R4-ImplementationGuide.gl.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImplementationGuide.global.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ImplementationGuide.gl.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ImplementationGuide.ma.re.example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ImplementationGuide.ma.re.example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ImplementationGuide.ma.re.example: StructureDefinition"
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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/StructureDefinition/ext-R4-ImplementationGuide.ma.re.example vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ImplementationGuide.manifest.resource.example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ImplementationGuide.ma.re.example"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-InsurancePlan.contact",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-InsurancePlan.contact",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-InsurancePlan.contact: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-InsurancePlan.contact vs http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.contact"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-InsurancePlan.contact"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Invoice.li.priceComponent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Invoice.li.priceComponent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-Invoice.li.priceComponent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-Invoice.li.priceComponent vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Invoice.lineItem.priceComponent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Invoice.li.priceComponent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Invoice.totalPriceComponent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Invoice.totalPriceComponent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "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": 27587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4-Invoice.totalPriceComponent: StructureDefinition.differential.element[3]"
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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": 27799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-Invoice.totalPriceComponent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-Invoice.totalPriceComponent vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Invoice.totalPriceComponent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Invoice.totalPriceComponent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-List.subject",
      "resource": {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18098
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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": [
              "StructureDefinition/ext-R4-List.subject: StructureDefinition"
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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/StructureDefinition/ext-R4-List.subject vs http://hl7.org/fhir/4.0/StructureDefinition/extension-List.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-List.subject"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Location.availabilityExceptions",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18809
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-Location.availabilityExceptions: StructureDefinition"
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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/StructureDefinition/ext-R4-Location.availabilityExceptions vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Location.availabilityExceptions"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Location.availabilityExceptions"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Location.hoursOfOperation",
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        "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",
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              {
                "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",
            "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-Location.hoursOfOperation: StructureDefinition"
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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/StructureDefinition/ext-R4-Location.hoursOfOperation vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Location.hoursOfOperation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Location.hoursOfOperation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Location.telecom",
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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": 18394
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              {
                "url": "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": {
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            },
            "expression": [
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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/StructureDefinition/ext-R4-Location.telecom vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Location.telecom"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Location.telecom"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MA.pe.actor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MA.pe.actor",
        "issue": [
          {
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                "valueInteger": 1
              },
              {
                "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-MA.pe.actor: StructureDefinition"
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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/StructureDefinition/ext-R4-MA.pe.actor vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationAdministration.performer.actor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MA.pe.actor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Measure.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Measure.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17719
              },
              {
                "url": "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": [
              "StructureDefinition/ext-R4-Measure.definition: StructureDefinition"
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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/StructureDefinition/ext-R4-Measure.definition vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Measure.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Measure.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MeasureReport.gr.st.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MeasureReport.gr.st.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18382
              },
              {
                "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": {
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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/StructureDefinition/ext-R4-MeasureReport.gr.st.code vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MeasureReport.group.stratifier.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MeasureReport.gr.st.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MeasureReport.reporter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MeasureReport.reporter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18187
              },
              {
                "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",
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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/StructureDefinition/ext-R4-MeasureReport.reporter vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MeasureReport.reporter"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MeasureReport.reporter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.bodySite",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Media.bodySite",
        "issue": [
          {
            "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",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Media.bodySite vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.bodySite"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Media.bodySite"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.content",
      "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": 18156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-Media.content: StructureDefinition"
            ]
          },
          {
            "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/StructureDefinition/ext-R4-Media.content vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.content"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Media.content"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.created",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Media.created",
        "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",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Media.created vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.created"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Media.created"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.device",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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                "valueInteger": 17288
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              {
                "url": "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": [
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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/StructureDefinition/ext-R4-Media.device vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.device"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Media.device"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.deviceName",
      "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",
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              {
                "url": "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": [
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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-Media.deviceName vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.deviceName"
            },
            "expression": [
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    {
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                "valueInteger": 1
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              {
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                "valueInteger": 17571
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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"
            },
            "expression": [
              "StructureDefinition/ext-R4-Media.duration: StructureDefinition"
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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-Media.duration vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.duration"
            },
            "expression": [
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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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Media.encounter vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.encounter"
            },
            "expression": [
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        ]
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    {
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                "valueInteger": 1
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              {
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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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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Media.frames vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.frames"
            },
            "expression": [
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          }
        ]
      }
    },
    {
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                "valueInteger": 1
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            },
            "expression": [
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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/StructureDefinition-ext-R4-Media.note",
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              {
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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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                "valueString": "Publisher"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Media.note vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Media.note"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Media.note"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.operator",
      "resource": {
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                "valueInteger": 1
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.partOf",
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            "expression": [
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          }
        ]
      }
    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.subject",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            },
            "expression": [
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        ]
      }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.view",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            },
            "expression": [
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          }
        ]
      }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Media.width",
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                "valueString": "Publisher"
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Medication.in.item",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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-Medication.in.item vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Medication.ingredient.item"
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                "valueString": "Publisher"
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            ],
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            "details": {
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    {
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicationDispense.statusReason vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationDispense.statusReason"
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                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicationDispense.su.responsibleParty vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationDispense.substitution.responsibleParty"
            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationKnowledge.re.schedule: StructureDefinition"
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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/StructureDefinition/ext-R4-MedicationKnowledge.re.schedule vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationKnowledge.regulatory.schedule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationKnowledge.re.schedule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.detectedIssue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.detectedIssue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.detectedIssue: StructureDefinition"
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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/StructureDefinition/ext-R4-MedicationRequest.detectedIssue vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.detectedIssue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.detectedIssue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.instantiatesCanonical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.instantiatesCanonical",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.instantiatesCanonical: StructureDefinition"
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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/StructureDefinition/ext-R4-MedicationRequest.instantiatesCanonical vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesCanonical"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.instantiatesCanonical"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.instantiatesUri",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.instantiatesUri",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.instantiatesUri: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-MedicationRequest.instantiatesUri vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.instantiatesUri"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.medication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.medication: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-MedicationRequest.medication vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.medication"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.medication"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.performer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.performer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.performer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicationRequest.performer vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.performer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.reasonCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.reasonCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.reasonCode: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "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/ext-R4-MedicationRequest.reasonCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reasonCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.reasonCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.reasonReference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.reasonReference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.reasonReference: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicationRequest.reasonReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reasonReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.reasonReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.reported",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationRequest.reported",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.reported: StructureDefinition"
            ]
          },
          {
            "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/StructureDefinition/ext-R4-MedicationRequest.reported vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.reported"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationRequest.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-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": 20289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationRequest.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicationRequest.status vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationRequest.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationStatement.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationStatement.basedOn",
        "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": 17918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationStatement.basedOn: StructureDefinition"
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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/StructureDefinition/ext-R4-MedicationStatement.basedOn vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationStatement.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationStatement.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationStatement.context",
        "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": 18650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationStatement.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MedicationStatement.context vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-MedicationStatement.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MedicationStatement.medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-MedicationStatement.medication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-MedicationStatement.medication: StructureDefinition"
            ]
          },
          {
            "extension": [
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                "valueInteger": 1
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              {
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                "valueInteger": 116740
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              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            "code": "invariant",
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              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            ],
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            "code": "invariant",
            "details": {
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                "valueInteger": 1
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              {
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                "valueInteger": 131951
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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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                "valueString": "Publisher"
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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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              {
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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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                "valueString": "Publisher"
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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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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MolecularSequence.coordinateSystem",
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        "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",
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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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            "expression": [
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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/StructureDefinition/ext-R4-MolecularSequence.coordinateSystem vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MolecularSequence.coordinateSystem"
            },
            "expression": [
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        ]
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            "expression": [
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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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            "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-MolecularSequence.pointer vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MolecularSequence.pointer"
            },
            "expression": [
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MolecularSequence.quality",
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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": 288434
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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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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            },
            "expression": [
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          }
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      }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MolecularSequence.quantity",
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            "expression": [
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-MolecularSequence.quantity vs http://hl7.org/fhir/4.0/StructureDefinition/extension-MolecularSequence.quantity"
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            "expression": [
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-MolecularSequence.readCoverage",
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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": 18549
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              {
                "url": "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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            "expression": [
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          {
            "extension": [
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      "resource": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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": [
              "StructureDefinition/ext-R4-Observation.derivedFrom: StructureDefinition"
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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-Observation.derivedFrom vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.derivedFrom"
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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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-ObservationDefinition.abnormalCodedValueSet: StructureDefinition"
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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-ObservationDefinition.abnormalCodedValueSet vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ObservationDefinition.abnormalCodedValueSet"
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            "expression": [
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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 '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-ObservationDefinition.criticalCodedValueSet vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ObservationDefinition.criticalCodedValueSet"
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              {
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              {
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ObservationDefinition.identifier vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ObservationDefinition.identifier"
            },
            "expression": [
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ObservationDefinition.normalCodedValueSet"
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              "StructureDefinition/ext-R4-ObservationDefinition.qualifiedInterval: StructureDefinition"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/observation-range-category|5.0.0' which is experimental, but this structure is not labeled as experimental"
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          {
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            },
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ObservationDefinition.qualifiedInterval vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ObservationDefinition.qualifiedInterval"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ObservationDefinition.qualifiedInterval"
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          }
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    },
    {
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      "resource": {
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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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            "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-ObservationDefinition.quantitativeDetails: StructureDefinition"
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          },
          {
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                "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/ucum-units|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            },
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|5.0.0' which is experimental, but this structure is not labeled as experimental"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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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/StructureDefinition/ext-R4-ObservationDefinition.quantitativeDetails vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ObservationDefinition.quantitativeDetails"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ObservationDefinition.quantitativeDetails"
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          }
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    {
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      "resource": {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18632
              },
              {
                "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": [
              "StructureDefinition/ext-R4-ObservationDefinition.validCodedValueSet: StructureDefinition"
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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/StructureDefinition/ext-R4-ObservationDefinition.validCodedValueSet vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ObservationDefinition.validCodedValueSet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ObservationDefinition.validCodedValueSet"
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          }
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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": 19086
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              {
                "url": "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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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-OperationDefinition.pa.type vs http://hl7.org/fhir/4.0/StructureDefinition/extension-OperationDefinition.parameter.type"
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            "expression": [
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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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              {
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                "valueString": "InstanceValidator"
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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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          {
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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-OperationDefinition.resource vs http://hl7.org/fhir/4.0/StructureDefinition/extension-OperationDefinition.resource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-OperationDefinition.resource"
            ]
          }
        ]
      }
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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": {
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            },
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                "valueString": "Publisher"
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            "code": "business-rule",
            "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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                "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-Organization.contact: StructureDefinition"
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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",
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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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/StructureDefinition/ext-R4-Organization.telecom vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Organization.telecom"
            },
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ParameterDefinition.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ParameterDefinition.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18840
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-ParameterDefinition.type: StructureDefinition"
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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.r5/input/extensions/StructureDefinition-ext-R4-ParameterDefinition.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Parameters.pa.value",
      "resource": {
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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": 141041
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            "code": "invariant",
            "details": {
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            },
            "expression": [
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          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 149159
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            ],
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            "code": "invariant",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4-Parameters.pa.value: StructureDefinition.differential.element[12]"
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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",
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                "valueString": "InstanceValidator"
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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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          {
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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.r5/input/extensions/StructureDefinition-ext-R4-Parameters.pa.value"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-PaymentReconciliation.detail",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-PaymentReconciliation.detail",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 134819
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              {
                "url": "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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                "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": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-PlanDefinition.ac.code",
      "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",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "code": "business-rule",
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            },
            "expression": [
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          }
        ]
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    },
    {
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        "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": 17893
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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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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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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/StructureDefinition/ext-R4-PlanDefinition.ac.input vs http://hl7.org/fhir/4.0/StructureDefinition/extension-PlanDefinition.action.input"
            },
            "expression": [
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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": 17880
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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": [
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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-PlanDefinition.ac.output vs http://hl7.org/fhir/4.0/StructureDefinition/extension-PlanDefinition.action.output"
            },
            "expression": [
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          }
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    },
    {
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      "resource": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-PlanDefinition.ac.timing vs http://hl7.org/fhir/4.0/StructureDefinition/extension-PlanDefinition.action.timing"
            },
            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-PlanDefinition.subject",
      "resource": {
        "resourceType": "OperationOutcome",
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        "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": 24880
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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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            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-PlanDefinition.subject vs http://hl7.org/fhir/4.0/StructureDefinition/extension-PlanDefinition.subject"
            },
            "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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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Population vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Population"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Population"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-PractitionerRole.availableTime vs http://hl7.org/fhir/4.0/StructureDefinition/extension-PractitionerRole.availableTime"
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            "expression": [
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    {
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            "code": "business-rule",
            "details": {
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            "expression": [
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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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            },
            "expression": [
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Procedure.complication vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.complication"
            },
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          }
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            ],
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Procedure.complicationDetail vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.complicationDetail"
            },
            "expression": [
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          }
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            "details": {
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            },
            "expression": [
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          }
        ]
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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-Procedure.reasonReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.reasonReference"
            },
            "expression": [
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          }
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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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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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/StructureDefinition/ext-R4-Procedure.usedCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.usedCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Procedure.usedCode"
            ]
          }
        ]
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    {
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      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "valueInteger": 1
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              {
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                "valueInteger": 18027
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-Procedure.usedReference: StructureDefinition"
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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/StructureDefinition/ext-R4-Procedure.usedReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.usedReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Procedure.usedReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ProdCharacteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ProdCharacteristic",
        "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": 157401
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              {
                "url": "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": [
              "StructureDefinition/ext-R4-ProdCharacteristic: 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-ProdCharacteristic vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ProdCharacteristic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ProdCharacteristic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ProductShelfLife.identifier",
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ProductShelfLife.identifier",
        "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": 17646
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              {
                "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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            },
            "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": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-ProductShelfLife.identifier vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ProductShelfLife.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ProductShelfLife.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Provenance.ag.onBehalfOf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Provenance.ag.onBehalfOf",
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          {
            "extension": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18639
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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": {
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            },
            "expression": [
              "StructureDefinition/ext-R4-Provenance.ag.onBehalfOf: StructureDefinition"
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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/StructureDefinition/ext-R4-Provenance.ag.onBehalfOf vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Provenance.agent.onBehalfOf"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Provenance.ag.onBehalfOf"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Provenance.en.role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Provenance.en.role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-Provenance.en.role: StructureDefinition"
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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/StructureDefinition/ext-R4-Provenance.en.role vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Provenance.entity.role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Provenance.en.role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Provenance.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Provenance.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19061
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              {
                "url": "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-Provenance.reason: StructureDefinition"
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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/StructureDefinition/ext-R4-Provenance.reason vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Provenance.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Provenance.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-QR.it.an.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-QR.it.an.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-QR.it.an.value: StructureDefinition"
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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/StructureDefinition/ext-R4-QR.it.an.value vs http://hl7.org/fhir/4.0/StructureDefinition/extension-QuestionnaireResponse.item.answer.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-QR.it.an.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Questionnaire.subjectType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Questionnaire.subjectType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-Questionnaire.subjectType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-Questionnaire.subjectType vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Questionnaire.subjectType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Questionnaire.subjectType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Ratio.denominator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Ratio.denominator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-Ratio.denominator: StructureDefinition"
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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/StructureDefinition/ext-R4-Ratio.denominator vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Ratio.denominator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Ratio.denominator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-RelatedArtifact.url",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-RelatedArtifact.url",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-RelatedArtifact.url: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-RelatedArtifact.url vs http://hl7.org/fhir/4.0/StructureDefinition/extension-RelatedArtifact.url"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-RelatedArtifact.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-RequestGroup.ac.action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-RequestGroup.ac.action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "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": 26657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4-RequestGroup.ac.action: StructureDefinition.differential.element[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-RequestGroup.ac.action: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/ext-R4-RequestGroup.ac.action vs http://hl7.org/fhir/4.0/StructureDefinition/extension-RequestGroup.action.action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-RequestGroup.ac.action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-RequestGroup.ac.participant",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-RequestGroup.ac.participant",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ServiceRequest.code: StructureDefinition"
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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/StructureDefinition/ext-R4-ServiceRequest.code vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ServiceRequest.code"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ServiceRequest.locationCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ServiceRequest.locationCode",
        "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": 18736
              },
              {
                "url": "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://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4-ServiceRequest.locationCode: StructureDefinition.snapshot.element[4].binding.valueSet"
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              {
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                "valueInteger": 20625
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4-ServiceRequest.locationCode: StructureDefinition.differential.element[2].binding.valueSet"
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          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20630
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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": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-ServiceRequest.locationCode: StructureDefinition"
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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/StructureDefinition/ext-R4-ServiceRequest.locationCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.locationCode"
            },
            "expression": [
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          }
        ]
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        "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",
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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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4-ServiceRequest.locationReference: StructureDefinition"
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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/StructureDefinition/ext-R4-ServiceRequest.locationReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.locationReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ServiceRequest.locationReference"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ServiceRequest.orderDetail",
        "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": 21809
              },
              {
                "url": "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": [
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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/StructureDefinition/ext-R4-ServiceRequest.orderDetail vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.orderDetail"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ServiceRequest.orderDetail"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ServiceRequest.patientInstruction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ServiceRequest.patientInstruction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "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-ServiceRequest.patientInstruction: StructureDefinition"
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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/StructureDefinition/ext-R4-ServiceRequest.patientInstruction vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.patientInstruction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ServiceRequest.patientInstruction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ServiceRequest.reasonCode",
      "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",
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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": [
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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/StructureDefinition/ext-R4-ServiceRequest.reasonCode vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.reasonCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ServiceRequest.reasonCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ServiceRequest.reasonReference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-ServiceRequest.reasonReference",
        "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": 19819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
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            "details": {
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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/StructureDefinition/ext-R4-ServiceRequest.reasonReference vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.reasonReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ServiceRequest.reasonReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-ServiceRequest.supportingInfo",
      "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": 22049
              },
              {
                "url": "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": {
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            },
            "expression": [
              "StructureDefinition/ext-R4-ServiceRequest.supportingInfo: StructureDefinition"
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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-ServiceRequest.supportingInfo vs http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.supportingInfo"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-ServiceRequest.supportingInfo"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Slot.serviceType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Slot.serviceType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19770
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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/ext-R4-Slot.serviceType: 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-Slot.serviceType vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Slot.serviceType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Slot.serviceType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Specimen.co.additive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Specimen.co.additive",
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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": 22303
              },
              {
                "url": "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": [
              "StructureDefinition/ext-R4-Specimen.co.additive: StructureDefinition"
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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/StructureDefinition/ext-R4-Specimen.co.additive vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.container.additive"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Specimen.co.additive"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Specimen.co.bodySite",
      "resource": {
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        "id": "StructureDefinition-ext-R4-Specimen.co.bodySite",
        "issue": [
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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": 19784
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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",
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            },
            "expression": [
              "StructureDefinition/ext-R4-Specimen.co.bodySite: StructureDefinition"
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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/StructureDefinition/ext-R4-Specimen.co.bodySite vs http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.collection.bodySite"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/extensions/StructureDefinition-ext-R4-Specimen.co.bodySite"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-ext-R4-Specimen.co.capacity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4-Specimen.co.capacity",
        "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": 17856
              },
              {
                "url": "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-Specimen.co.capacity: StructureDefinition"
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          },
          {
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            "expression": [
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              {
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            "code": "code-invalid",
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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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                "valueInteger": 44743
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            "severity": "error",
            "code": "code-invalid",
            "details": {
              "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-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4-MedicinalProductIngredient-for-R5')"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/R4-MedicinalProductIngredient-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-MedicinalProductIngredient-for-R5"
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              "StructureDefinition/R4-MedicinalProductInteraction-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
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              "text": "Unknown code 'MedicinalProductInteraction' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4-MedicinalProductInteraction-for-R5')"
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            "expression": [
              "StructureDefinition/R4-MedicinalProductManufactured-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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          {
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            "severity": "error",
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              "text": "Unknown code 'MedicinalProductManufactured' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-MedicinalProductManufactured-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4-MedicinalProductManufactured-for-R5')"
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                "valueCode": "Unknown_Code_in_Version"
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            "code": "code-invalid",
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              "text": "Unknown code 'MedicinalProductPackaged' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-MedicinalProductPackaged-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
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                "valueInteger": 44681
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              "text": "Unknown code 'MedicinalProductPackaged' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
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              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4-MedicinalProductPackaged-for-R5')"
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            "severity": "error",
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            },
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          {
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              "StructureDefinition/R4-MedicinalProductUndesirableEffect-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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            "details": {
              "text": "Unknown code 'MedicinalProductUndesirableEffect' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-MedicinalProductUndesirableEffect-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44843
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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-MedicinalProductUndesirableEffect-for-R5: 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/5.0/StructureDefinition/R4-MedicinalProductUndesirableEffect-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "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-MedicinalProductUndesirableEffect-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-MedicinalProductUndesirableEffect-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/profiles/StructureDefinition-R4-MedicinalProductUndesirableEffect-for-R5"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-R4-Population-for-R5",
      "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": 39543
              },
              {
                "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 'Population' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-Population-for-R5: 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": 44170
              },
              {
                "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 'Population' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-Population-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44174
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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": [
              "StructureDefinition/R4-Population-for-R5: 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/5.0/StructureDefinition/R4-Population-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "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-Population-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-Population-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/profiles/StructureDefinition-R4-Population-for-R5"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-R4-ProdCharacteristic-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4-ProdCharacteristic-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39828
              },
              {
                "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 'ProdCharacteristic' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-ProdCharacteristic-for-R5: 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": 44495
              },
              {
                "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 'ProdCharacteristic' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-ProdCharacteristic-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44499
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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-ProdCharacteristic-for-R5: 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/5.0/StructureDefinition/R4-ProdCharacteristic-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "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-ProdCharacteristic-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-ProdCharacteristic-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/profiles/StructureDefinition-R4-ProdCharacteristic-for-R5"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-R4-ResearchDefinition-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4-ResearchDefinition-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39905
              },
              {
                "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 'ResearchDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-ResearchDefinition-for-R5: 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": 44572
              },
              {
                "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 'ResearchDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-ResearchDefinition-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-ResearchDefinition-for-R5: 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/5.0/StructureDefinition/R4-ResearchDefinition-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/R4-ResearchDefinition-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-ResearchDefinition-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/profiles/StructureDefinition-R4-ResearchDefinition-for-R5"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/StructureDefinition-R4-ResearchElementDefinition-for-R5",
      "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": 39978
              },
              {
                "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 'ResearchElementDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-ResearchElementDefinition-for-R5: 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": 44680
              },
              {
                "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 'ResearchElementDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-ResearchElementDefinition-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-ResearchElementDefinition-for-R5: 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/5.0/StructureDefinition/R4-ResearchElementDefinition-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "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-ResearchElementDefinition-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-ResearchElementDefinition-for-R5"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/profiles/StructureDefinition-R4-ResearchElementDefinition-for-R5"
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          }
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    },
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      "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": 39936
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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": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'RiskEvidenceSynthesis' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-RiskEvidenceSynthesis-for-R5: StructureDefinition.snapshot.element[11].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": 44618
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              {
                "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 'RiskEvidenceSynthesis' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4-RiskEvidenceSynthesis-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "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": [
              "StructureDefinition/R4-RiskEvidenceSynthesis-for-R5: StructureDefinition"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4-RiskEvidenceSynthesis-for-R5')"
            ]
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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/R4-RiskEvidenceSynthesis-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-RiskEvidenceSynthesis-for-R5"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/StructureDefinition/R4-SubstanceProtein-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4-SubstanceProtein-for-R5"
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/abstract-types vs http://hl7.org/fhir/abstract-types"
            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/account-status vs http://hl7.org/fhir/account-status"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-action-condition-kind"
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              {
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-action-grouping-behavior"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-action-participant-type"
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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/CodeSystem/action-precheck-behavior vs http://hl7.org/fhir/action-precheck-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-action-precheck-behavior"
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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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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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              "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"
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            "extension": [
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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/action-relationship-type vs http://hl7.org/fhir/action-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-action-relationship-type"
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      }
    },
    {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3234
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-action-required-behavior"
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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",
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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/action-selection-behavior vs http://hl7.org/fhir/action-selection-behavior"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-action-selection-behavior"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-action-type",
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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": 2878
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              {
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                "valueString": "InstanceValidator"
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
            "severity": "error",
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
            "severity": "error",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
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              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/address-type vs http://hl7.org/fhir/address-type"
            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-address-type"
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            "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.r5/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": 2239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/adjudication-error: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 2610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/adverse-event-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_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": 2331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-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/adverse-event-outcome has an 'all system' value set of http://hl7.org/fhir/ValueSet/adverse-event-outcome|5.0.0, but the value set doesn't have a matching system (http://snomed.info/sct)"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/adverse-event-seriousness: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_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": 2084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/adverse-event-severity'"
            },
            "expression": [
              "CodeSystem/adverse-event-severity: CodeSystem.valueSet"
            ]
          },
          {
            "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/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": 4122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/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": 3109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/input/vocabulary/CodeSystem-allergy-intolerance-criticality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-allergy-intolerance-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/input/vocabulary/CodeSystem-allergy-intolerance-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-allergyintolerance-clinical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergyintolerance-clinical",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/allergyintolerance-clinical: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/allergyintolerance-clinical: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-allergyintolerance-verification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergyintolerance-verification"
      }
    },
    {
      "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
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/animal-genderstatus vs http://hl7.org/fhir/animal-genderstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-animal-genderstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-animal-species",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-animal-species",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/animal-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/animal-species vs http://hl7.org/fhir/animal-species"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-animal-species"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-appointment-cancellation-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-appointment-cancellation-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/appointment-cancellation-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/appointment-cancellation-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 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 '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.r5/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
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-response-code-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/input/vocabulary/CodeSystem-assert-response-code-types"
            ]
          }
        ]
      }
    },
    {
      "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": 2021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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"
            ]
          },
          {
            "extension": [
              {
                "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.r5/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"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-audit-event-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/input/vocabulary/CodeSystem-audit-event-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-audit-event-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": "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/audit-event-outcome has an 'all system' value set of http://hl7.org/fhir/ValueSet/audit-event-outcome|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/issue-severity)"
            },
            "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.r5/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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/audit-source-type'"
            },
            "expression": [
              "CodeSystem/audit-source-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "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.r5/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": 4004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 5327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 3414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 3947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/care-plan-activity-status'"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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|5.0.0, 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": 2874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 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/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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating'"
            },
            "expression": [
              "CodeSystem/certainty-subcomponent-rating: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-certainty-subcomponent-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-certainty-subcomponent-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/certainty-subcomponent-type'"
            },
            "expression": [
              "CodeSystem/certainty-subcomponent-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 4796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 4774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/chromosome-human'"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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.r5/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.r5/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.r5/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.r5/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": 2704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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.r5/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.r5/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.r5/input/vocabulary/CodeSystem-codesystem-hierarchy-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-common-tags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-common-tags",
        "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/common-tags has an 'all system' value set of http://hl7.org/fhir/ValueSet/common-tags|5.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/common-tags: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 3127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/composition-altcode-kind'"
            },
            "expression": [
              "CodeSystem/composition-altcode-kind: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 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 '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.r5/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": 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 '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.r5/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": 6931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 4709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 4709
              },
              {
                "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": 4709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 4709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_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.r5/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.r5/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": 4100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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",
        "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/conceptmap-unmapped-mode vs http://hl7.org/fhir/conceptmap-unmapped-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-conceptmap-unmapped-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-condition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-condition-clinical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-clinical",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/condition-clinical: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/condition-clinical: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-condition-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-state",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/condition-state'"
            },
            "expression": [
              "CodeSystem/condition-state: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-condition-ver-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-ver-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/condition-ver-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/condition-ver-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-conditional-delete-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conditional-delete-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/conditional-delete-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/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.r5/input/vocabulary/CodeSystem-conditional-delete-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-conditional-read-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conditional-read-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/conditional-read-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/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.r5/input/vocabulary/CodeSystem-conditional-read-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-conformance-expectation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conformance-expectation",
        "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/conformance-expectation has an 'all system' value set of http://hl7.org/fhir/ValueSet/conformance-expectation|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/conformance-expectation)"
            },
            "expression": [
              "CodeSystem/conformance-expectation: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-action",
        "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/consent-action vs http://terminology.hl7.org/CodeSystem/consentaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-consent-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-category",
        "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/consent-category vs http://terminology.hl7.org/CodeSystem/consentcategorycodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-consent-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-data-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-data-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-data-meaning: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/consent-performer'"
            },
            "expression": [
              "CodeSystem/consent-performer: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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"
            ]
          },
          {
            "extension": [
              {
                "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-performer vs http://hl7.org/fhir/consentperformer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-consent-performer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-policy",
        "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/consent-policy vs http://terminology.hl7.org/CodeSystem/consentpolicycodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-consent-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-provision-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-provision-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-provision-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/consent-provision-type vs http://hl7.org/fhir/consent-provision-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-consent-provision-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-scope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-scope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2522
              },
              {
                "url": "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"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/consent-scope'"
            },
            "expression": [
              "CodeSystem/consent-scope: CodeSystem.valueSet"
            ]
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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-scope vs http://terminology.hl7.org/CodeSystem/consentscope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-consent-scope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-consent-state-codes",
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        "id": "CodeSystem-consent-state-codes",
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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": 3639
              },
              {
                "url": "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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            },
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              "CodeSystem/consent-state-codes: 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/consent-state-codes vs http://hl7.org/fhir/consent-state-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-consent-state-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-constraint-severity",
      "resource": {
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        "id": "CodeSystem-constraint-severity",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "url": "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",
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            },
            "expression": [
              "CodeSystem/constraint-severity: 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/constraint-severity vs http://hl7.org/fhir/constraint-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-constraint-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contact-point-system",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contact-point-system",
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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": 5165
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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": [
              "CodeSystem/contact-point-system: CodeSystem"
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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/contact-point-system vs http://hl7.org/fhir/contact-point-system"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contact-point-system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contact-point-use",
      "resource": {
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          {
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              {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4048
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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": [
              "CodeSystem/contact-point-use: 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/contact-point-use vs http://hl7.org/fhir/contact-point-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contact-point-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contactentity-type",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
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                "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/contactentity-type'"
            },
            "expression": [
              "CodeSystem/contactentity-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-container-cap",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-container-cap"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-action",
        "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-action vs http://terminology.hl7.org/CodeSystem/contractaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-actionstatus",
      "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": 2063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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            },
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              "CodeSystem/contract-actionstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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-actionstatus: 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-actionstatus vs http://hl7.org/fhir/contract-action-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-actionstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-actorrole",
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        "resourceType": "OperationOutcome",
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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/contract-actorrole vs http://terminology.hl7.org/CodeSystem/contractactorrole"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-actorrole"
            ]
          }
        ]
      }
    },
    {
      "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": 2068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-assetcontext: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_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-assetcontext: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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-assetcontext vs http://hl7.org/fhir/contract-asset-context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-assetcontext"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-assetscope",
      "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": 2026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-assetscope: 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": "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-assetscope: 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-assetscope vs http://hl7.org/fhir/contract-asset-scope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-assetscope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-assetsubtype",
      "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": 2090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/contract-assetsubtype: 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": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-assetsubtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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"
            ]
          },
          {
            "extension": [
              {
                "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.r5/input/vocabulary/CodeSystem-contract-assetsubtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-assettype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-assettype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-assettype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2055
              },
              {
                "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-assettype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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.r5/input/vocabulary/CodeSystem-contract-assettype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-content-derivative",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-content-derivative"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-data-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-data-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/contract-data-meaning'"
            },
            "expression": [
              "CodeSystem/contract-data-meaning: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-decision-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-decision-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-decision-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-decision-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/contract-decision-mode vs http://hl7.org/fhir/contract-decision-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/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
              },
              {
                "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": "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-definition-subtype: 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": "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-definition-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-definition-subtype vs http://hl7.org/fhir/contract-definition-subtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-definition-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-definition-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-definition-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2084
              },
              {
                "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-definition-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-definition-type vs http://hl7.org/fhir/contract-definition-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-definition-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-expiration-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-expiration-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-expiration-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_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-expiration-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/contract-expiration-type vs http://hl7.org/fhir/contract-expiration-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-expiration-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-legalstate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-legalstate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-legalstate: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13862
              },
              {
                "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-legalstate: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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-legalstate vs http://hl7.org/fhir/contract-legalstate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-legalstate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-party-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-party-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-party-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-party-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/contract-party-role vs http://hl7.org/fhir/contract-party-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-party-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-publicationstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-publicationstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-publicationstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14030
              },
              {
                "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-publicationstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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-publicationstatus vs http://hl7.org/fhir/contract-publicationstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-publicationstatus"
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              {
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                "valueInteger": 1972
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "details": {
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                "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"
            },
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/contract-scope vs http://hl7.org/fhir/contract-scope"
            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-scope"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              {
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              {
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                "valueCode": "VALIDATION_HL7_WG_URL"
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            "code": "business-rule",
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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/contract-security-category vs http://hl7.org/fhir/contract-security-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-security-category"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
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              {
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                "valueInteger": 2134
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "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": 2134
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              {
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                "valueCode": "VALIDATION_HL7_WG_URL"
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            ],
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            },
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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/contract-security-classification vs http://hl7.org/fhir/contract-security-classification"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-contract-security-classification"
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          }
        ]
      }
    },
    {
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              },
              {
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                "valueInteger": 2092
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
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            },
            "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": 2092
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
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                "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": [
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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-security-control vs http://hl7.org/fhir/contract-security-control"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/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.r5/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": 13765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": 13765
              },
              {
                "url": "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"
            ]
          },
          {
            "extension": [
              {
                "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.r5/input/vocabulary/CodeSystem-contract-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-subtype",
        "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-subtype vs http://terminology.hl7.org/CodeSystem/contractsubtypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/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.r5/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.r5/input/vocabulary/CodeSystem-contract-term-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-contract-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-type"
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    },
    {
      "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": 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 '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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/copy-number-event'"
            },
            "expression": [
              "CodeSystem/copy-number-event: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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.r5/input/vocabulary/CodeSystem-coverage-financial-exception"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-coverage-selfpay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-selfpay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/coverage-selfpay'"
            },
            "expression": [
              "CodeSystem/coverage-selfpay: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 27695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": 27695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.r5/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": 2982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/definition-resource-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/definition-resource-types|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/fhir-types)"
            },
            "expression": [
              "CodeSystem/definition-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/definition-resource-types vs http://hl7.org/fhir/definition-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-definition-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-definition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/definition-status'"
            },
            "expression": [
              "CodeSystem/definition-status: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-definition-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-topic",
        "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/definition-topic has an 'all system' value set of http://hl7.org/fhir/ValueSet/definition-topic|5.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/definition-topic: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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"
      }
    },
    {
      "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": 3012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/device-definition-status'"
            },
            "expression": [
              "CodeSystem/device-definition-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 3139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/device-statement-status'"
            },
            "expression": [
              "CodeSystem/device-statement-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/device-status-reason'"
            },
            "expression": [
              "CodeSystem/device-status-reason: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 3264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 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.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": 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/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": 6732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/diagnostic-report-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 4717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 4717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 4717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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": 736126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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": 1267252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 1267252
              },
              {
                "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": 1267252
              },
              {
                "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.r5/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": 3962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "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.r5/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": 2371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 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 '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.r5/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",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/dose-rate-type'"
            },
            "expression": [
              "CodeSystem/dose-rate-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-effect-estimate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-effect-estimate-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/effect-estimate-type'"
            },
            "expression": [
              "CodeSystem/effect-estimate-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-eligibilityrequest-purpose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-eligibilityrequest-purpose",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/eligibilityrequest-purpose: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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/eligibilityrequest-purpose vs http://hl7.org/fhir/eligibilityrequest-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-eligibilityrequest-purpose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-eligibilityresponse-purpose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-eligibilityresponse-purpose",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/eligibilityresponse-purpose: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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/eligibilityresponse-purpose vs http://hl7.org/fhir/eligibilityresponse-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-eligibilityresponse-purpose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-admit-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-admit-source",
        "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/encounter-admit-source vs http://terminology.hl7.org/CodeSystem/admit-source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-encounter-admit-source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-diet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-diet",
        "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/encounter-diet vs http://terminology.hl7.org/CodeSystem/diet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-encounter-diet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-discharge-disposition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-discharge-disposition",
        "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/encounter-discharge-disposition vs http://terminology.hl7.org/CodeSystem/discharge-disposition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-encounter-discharge-disposition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-location-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-location-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "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.r5/input/vocabulary/CodeSystem-encounter-location-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-participant-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/encounter-participant-type vs http://terminology.hl7.org/CodeSystem/participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-encounter-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-special-arrangements",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-special-arrangements"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/encounter-status vs http://hl7.org/fhir/encounter-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-encounter-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-encounter-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-endpoint-connection-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-connection-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-endpoint-payload-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-payload-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-endpoint-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/endpoint-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "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.r5/input/vocabulary/CodeSystem-endpoint-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-entformula-additive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-entformula-additive"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-episode-of-care-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-episode-of-care-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/episode-of-care-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "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.r5/input/vocabulary/CodeSystem-episode-of-care-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-episodeofcare-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-episodeofcare-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-event-capability-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-capability-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/event-capability-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "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.r5/input/vocabulary/CodeSystem-event-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-event-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-resource-types",
        "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://hl7.org/fhir/event-resource-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/event-resource-types|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/fhir-types)"
            },
            "expression": [
              "CodeSystem/event-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/event-resource-types vs http://hl7.org/fhir/event-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-event-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-event-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/event-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/input/vocabulary/CodeSystem-event-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-event-timing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-timing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/event-timing: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-event-timing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-evidence-quality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-quality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/evidence-quality'"
            },
            "expression": [
              "CodeSystem/evidence-quality: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-evidence-variant-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-variant-state",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/evidence-variant-state'"
            },
            "expression": [
              "CodeSystem/evidence-variant-state: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 2651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/ex-onsettype'"
            },
            "expression": [
              "CodeSystem/ex-onsettype: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/ex-onsettype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/ex-payee-resource-type'"
            },
            "expression": [
              "CodeSystem/ex-payee-resource-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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.r5/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": 2968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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": 2968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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": 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.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": 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_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": 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/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.r5/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": 2949
              },
              {
                "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": 3179
              },
              {
                "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": 3384
              },
              {
                "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": 3451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/expansion-processing-rule'"
            },
            "expression": [
              "CodeSystem/expansion-processing-rule: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 3002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/exposure-state'"
            },
            "expression": [
              "CodeSystem/exposure-state: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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": "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/expression-language has an 'all system' value set of http://hl7.org/fhir/ValueSet/expression-language|5.0.0, but the value set doesn't have a matching system (urn:ietf:bcp:13)"
            },
            "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.r5/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": 3462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 4057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": 4057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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.r5/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": 5044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 8336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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.r5/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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/financial-taskcode'"
            },
            "expression": [
              "CodeSystem/financial-taskcode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "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.r5/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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/financial-taskinputtype'"
            },
            "expression": [
              "CodeSystem/financial-taskinputtype: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "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.r5/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": 2960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 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 '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.r5/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": 2224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/fm-conditions'"
            },
            "expression": [
              "CodeSystem/fm-conditions: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 2593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/fm-itemtype'"
            },
            "expression": [
              "CodeSystem/fm-itemtype: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 2756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/forms: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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.r5/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": 2973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/fundsreserve: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/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": 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": [
              "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.r5/input/vocabulary/CodeSystem-gender-identity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-acceptance-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-acceptance-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/goal-acceptance-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/goal-acceptance-status|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/goal-acceptance-status)"
            },
            "expression": [
              "CodeSystem/goal-acceptance-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-achievement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-achievement",
        "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-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/goal-achievement: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/goal-achievement: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-priority"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-relationship-type",
        "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/goal-relationship-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/goal-relationship-type|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/goal-relationship-type)"
            },
            "expression": [
              "CodeSystem/goal-relationship-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/goal-status-reason'"
            },
            "expression": [
              "CodeSystem/goal-status-reason: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/goal-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/goal-status-reason vs http://hl7.org/fhir/goal-status-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-goal-status-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-goal-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/goal-status vs http://hl7.org/fhir/goal-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-goal-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-graph-compartment-rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-graph-compartment-rule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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": [
              "CodeSystem/graph-compartment-rule: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/graph-compartment-rule vs http://hl7.org/fhir/graph-compartment-rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-graph-compartment-rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-graph-compartment-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-graph-compartment-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/graph-compartment-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/graph-compartment-use vs http://hl7.org/fhir/graph-compartment-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-graph-compartment-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-group-measure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-group-measure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/group-measure'"
            },
            "expression": [
              "CodeSystem/group-measure: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3433
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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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/group-measure: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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/group-measure vs http://hl7.org/fhir/group-measure"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-group-measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-group-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-group-type",
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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": 3259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/group-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/group-type vs http://hl7.org/fhir/group-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-group-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-guidance-response-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guidance-response-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/guidance-response-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/guidance-response-status vs http://hl7.org/fhir/guidance-response-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-guidance-response-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-guide-page-generation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guide-page-generation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/guide-page-generation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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/guide-page-generation vs http://hl7.org/fhir/guide-page-generation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-guide-page-generation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-guide-parameter-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guide-parameter-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/guide-parameter-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/guide-parameter-code vs http://hl7.org/fhir/guide-parameter-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-guide-parameter-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-handling-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-handling-condition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-history-absent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-history-absent-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-history-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-history-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/history-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "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.r5/input/vocabulary/CodeSystem-history-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-hl7-work-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-hl7-work-group",
        "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/hl7-work-group has an 'all system' value set of http://hl7.org/fhir/ValueSet/hl7-work-group|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/hl7-work-group)"
            },
            "expression": [
              "CodeSystem/hl7-work-group: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-http-operations",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-http-operations",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 2844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "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.r5/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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/icd-10-procedures: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 4023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 4311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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-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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/implantStatus: CodeSystem"
            ]
          },
          {
            "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.r5/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": 3378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.r5/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": 2336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/intervention'"
            },
            "expression": [
              "CodeSystem/intervention: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/invoice-priceComponentType'"
            },
            "expression": [
              "CodeSystem/invoice-priceComponentType: CodeSystem.valueSet"
            ]
          },
          {
            "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 '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.r5/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": 3097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 16711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/iso-21089-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 3187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-issue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-issue-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-issue-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "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.r5/input/vocabulary/CodeSystem-issue-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-item-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-item-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "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.r5/input/vocabulary/CodeSystem-item-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-knowledge-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-knowledge-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": 3871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/knowledge-resource-types'"
            },
            "expression": [
              "CodeSystem/knowledge-resource-types: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "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/knowledge-resource-types vs http://hl7.org/fhir/knowledge-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-knowledge-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-language-preference-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-language-preference-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/language-preference-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/language-preference-type vs http://hl7.org/fhir/language-preference-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-language-preference-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-library-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-library-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-link-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-link-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/link-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-link-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-linkage-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-linkage-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/linkage-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/input/vocabulary/CodeSystem-linkage-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-list-empty-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-empty-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-list-example-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-example-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/list-example-codes vs http://terminology.hl7.org/CodeSystem/list-example-use-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-list-example-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-list-item-flag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-item-flag",
        "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/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.r5/input/vocabulary/CodeSystem-list-item-flag"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/input/vocabulary/CodeSystem-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-list-order",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-order"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-list-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/list-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-list-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-location-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/input/vocabulary/CodeSystem-location-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-location-physical-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-physical-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/location-physical-type'"
            },
            "expression": [
              "CodeSystem/location-physical-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-location-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-location-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-context-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/map-context-type'"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-map-context-type"
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    {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2833
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              {
                "url": "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/map-group-type-mode: 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/map-group-type-mode vs http://hl7.org/fhir/map-group-type-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-map-group-type-mode"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-input-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-input-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2237
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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": [
              "CodeSystem/map-input-mode: CodeSystem"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/map-input-mode vs http://hl7.org/fhir/map-input-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-map-input-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-model-mode",
      "resource": {
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        "id": "CodeSystem-map-model-mode",
        "issue": [
          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
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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": [
              "CodeSystem/map-model-mode: 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-model-mode vs http://hl7.org/fhir/map-model-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-map-model-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-source-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-source-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3130
              },
              {
                "url": "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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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-source-list-mode: CodeSystem"
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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/map-source-list-mode vs http://hl7.org/fhir/map-source-list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-map-source-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-target-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-target-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-target-list-mode: CodeSystem"
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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/map-target-list-mode vs http://hl7.org/fhir/map-target-list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-map-target-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-map-transform",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-transform",
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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": 7216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-transform: CodeSystem"
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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/map-transform vs http://hl7.org/fhir/map-transform"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-map-transform"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-match-grade",
      "resource": {
        "resourceType": "OperationOutcome",
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        "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/match-grade has an 'all system' value set of http://hl7.org/fhir/ValueSet/match-grade|5.2.0, but the value set doesn't have a matching system (http://hl7.org/fhir/match-grade)"
            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-measure-data-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-data-usage"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-measure-improvement-notation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-improvement-notation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-measure-population",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-population"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-measure-report-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-report-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2546
              },
              {
                "url": "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 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-report-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/measure-report-status vs http://hl7.org/fhir/measure-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-measure-report-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-measure-report-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-report-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3318
              },
              {
                "url": "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 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-report-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-measure-report-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-measure-scoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-scoring",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/measure-scoring'"
            },
            "expression": [
              "CodeSystem/measure-scoring: CodeSystem.valueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-measure-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-med-admin-perform-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-med-admin-perform-function",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/med-admin-perform-function: CodeSystem"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-media-modality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-media-modality"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-media-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-media-type",
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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": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/media-type'"
            },
            "expression": [
              "CodeSystem/media-type: CodeSystem.valueSet"
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-admin-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-admin-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
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            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-admin-category'"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem.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": 3477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-admin-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-admin-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "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#cnl-0"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/medication-admin-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medication-admin-status)"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-statement-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-statement-category'"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-statement-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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",
            "code": "business-rule",
            "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.r5/input/vocabulary/CodeSystem-medication-statement-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medication-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "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.r5/input/vocabulary/CodeSystem-medication-status"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medicationdispense-category'"
            },
            "expression": [
              "CodeSystem/medicationdispense-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-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/medicationdispense-category vs http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-medicationdispense-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationdispense-performer-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-performer-function",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-performer-function: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationdispense-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-status-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason)"
            },
            "expression": [
              "CodeSystem/medicationdispense-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/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.r5/input/vocabulary/CodeSystem-medicationdispense-status-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationdispense-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-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://terminology.hl7.org/CodeSystem/medicationdispense-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medicationdispense-status)"
            },
            "expression": [
              "CodeSystem/medicationdispense-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationknowledge-characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-characteristic",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-characteristic: CodeSystem"
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        ]
      }
    },
    {
      "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": 4438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medicationknowledge-package-type'"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: CodeSystem.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": 5222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: 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": 5222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-status: 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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/medicationknowledge-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationknowledge-status|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medicationknowledge-status)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationrequest-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medicationrequest-category'"
            },
            "expression": [
              "CodeSystem/medicationrequest-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-medicationrequest-course-of-therapy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-course-of-therapy",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-course-of-therapy: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 5428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-status-reason: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 5748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 1890
              },
              {
                "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": 1890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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.r5/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": 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 '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.r5/input/vocabulary/CodeSystem-message-significance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-message-transport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-transport",
        "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/message-transport has an 'all system' value set of http://hl7.org/fhir/ValueSet/message-transport|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/message-transport)"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 3119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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": 3119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2820
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 3042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/metric-color'"
            },
            "expression": [
              "CodeSystem/metric-color: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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.r5/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": 2823
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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": 5032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 3154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 4078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/network-type'"
            },
            "expression": [
              "CodeSystem/network-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 9667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/nhin-purposeofuse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9667
              },
              {
                "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.r5/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": 2304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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|5.0.0, 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": 6780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/observation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/input/vocabulary/CodeSystem-operation-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-operation-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/operation-outcome: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-operation-parameter-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-parameter-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/operation-parameter-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-operation-parameter-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-oral-prosthodontic-material",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-oral-prosthodontic-material",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/oral-prosthodontic-material'"
            },
            "expression": [
              "CodeSystem/oral-prosthodontic-material: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/oral-prosthodontic-material: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/oral-prosthodontic-material vs http://hl7.org/fhir/ex-oralprostho"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-oral-prosthodontic-material"
            ]
          }
        ]
      }
    },
    {
      "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": 4557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/organization-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "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.r5/input/vocabulary/CodeSystem-organization-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-organization-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-organization-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-orientation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-orientation-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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/orientation-type: CodeSystem"
            ]
          },
          {
            "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 '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.r5/input/vocabulary/CodeSystem-orientation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-parameter-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-parameter-group",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/parameter-group'"
            },
            "expression": [
              "CodeSystem/parameter-group: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/participantrequired'"
            },
            "expression": [
              "CodeSystem/participantrequired: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "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.r5/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": 2608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/payeetype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/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.r5/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": 4473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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"
            ]
          },
          {
            "extension": [
              {
                "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.r5/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": 2769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/practitioner-specialty'"
            },
            "expression": [
              "CodeSystem/practitioner-specialty: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/practitioner-specialty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/precision-estimate-type'"
            },
            "expression": [
              "CodeSystem/precision-estimate-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 4219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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.r5/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": 3163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/product-storage-scale'"
            },
            "expression": [
              "CodeSystem/product-storage-scale: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 9557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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": 3362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 4217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/provenance-agent-role'"
            },
            "expression": [
              "CodeSystem/provenance-agent-role: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": 5908
              },
              {
                "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.r5/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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/provenance-agent-type'"
            },
            "expression": [
              "CodeSystem/provenance-agent-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "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.r5/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": 4139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/provenance-entity-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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.r5/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": 4064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/quality-type'"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/question-max-occurs'"
            },
            "expression": [
              "CodeSystem/question-max-occurs: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 4040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 3880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 4374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 14763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": 14763
              },
              {
                "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.r5/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": 2588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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.r5/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": 3241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/recommendation-strength'"
            },
            "expression": [
              "CodeSystem/recommendation-strength: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 4464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 6081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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.r5/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": 2069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/relation-type'"
            },
            "expression": [
              "CodeSystem/relation-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 3281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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": 3281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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.r5/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": 3050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 2410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 2544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 3143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/repository-type'"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 6467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "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.r5/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": 6374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": "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/request-resource-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/request-resource-types|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/fhir-types)"
            },
            "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.r5/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": 4974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/research-element-type'"
            },
            "expression": [
              "CodeSystem/research-element-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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",
        "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/research-study-objective-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-objective-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-objective-type)"
            },
            "expression": [
              "CodeSystem/research-study-objective-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-study-phase",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-phase",
        "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/research-study-phase has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-phase|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-phase)"
            },
            "expression": [
              "CodeSystem/research-study-phase: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-study-prim-purp-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-prim-purp-type",
        "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/research-study-prim-purp-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-prim-purp-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-prim-purp-type)"
            },
            "expression": [
              "CodeSystem/research-study-prim-purp-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-research-study-reason-stopped",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-reason-stopped",
        "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/research-study-reason-stopped has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-reason-stopped|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-reason-stopped)"
            },
            "expression": [
              "CodeSystem/research-study-reason-stopped: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 6720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 5299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/research-subject-status'"
            },
            "expression": [
              "CodeSystem/research-subject-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 3086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 10981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 10981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": 10981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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": 10981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_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": 10981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/resource-type-link'"
            },
            "expression": [
              "CodeSystem/resource-type-link: CodeSystem.valueSet"
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-types",
        "issue": [
          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 176921
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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 '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.r5/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": 4421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "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.r5/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": 3061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 6995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 6995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": 6995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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"
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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/restful-interaction vs http://hl7.org/fhir/restful-interaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/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",
        "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/restful-security-service has an 'all system' value set of http://hl7.org/fhir/ValueSet/restful-security-service|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/restful-security-service)"
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            "expression": [
              "CodeSystem/restful-security-service: CodeSystem"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-risk-estimate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-risk-estimate-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/risk-estimate-type'"
            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-risk-probability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-risk-probability"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-search-comparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-comparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-comparator: CodeSystem"
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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.r5/input/vocabulary/CodeSystem-search-comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-search-entry-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-entry-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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",
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            },
            "expression": [
              "CodeSystem/search-entry-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/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.r5/input/vocabulary/CodeSystem-search-entry-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-search-modifier-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-modifier-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-modifier-code: CodeSystem"
            ]
          },
          {
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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-modifier-code vs http://hl7.org/fhir/search-modifier-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-search-modifier-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-search-param-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-param-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5363
              },
              {
                "url": "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/search-param-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/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.r5/input/vocabulary/CodeSystem-search-param-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-search-xpath-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-xpath-usage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/search-xpath-usage'"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/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.r5/input/vocabulary/CodeSystem-search-xpath-usage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-secondary-finding",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-secondary-finding",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/secondary-finding: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "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.r5/input/vocabulary/CodeSystem-secondary-finding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-sequence-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-sequence-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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.r5/input/vocabulary/CodeSystem-sequence-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-service-modifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-modifiers",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/service-modifiers'"
            },
            "expression": [
              "CodeSystem/service-modifiers: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/service-modifiers: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/service-modifiers vs http://hl7.org/fhir/ex-servicemodifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/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": 3161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/service-pharmacy'"
            },
            "expression": [
              "CodeSystem/service-pharmacy: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3791
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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.r5/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": 2398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/service-product'"
            },
            "expression": [
              "CodeSystem/service-product: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/service-product: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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.r5/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": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem urn:iso-astm:E1762-95:2013 has an 'all system' value set of http://hl7.org/fhir/ValueSet/signature-type|5.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/signature-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/signature-type vs urn:iso-astm:E1762-95:2013"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/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": 3462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/input/vocabulary/CodeSystem-slotstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-smart-capabilities",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-smart-capabilities",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/smart-capabilities'"
            },
            "expression": [
              "CodeSystem/smart-capabilities: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/field/Concept.active'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[0].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/field/Concept.definitionStatusId'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[1].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704324001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[77]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "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": 21662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704347000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[82]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21662
              },
              {
                "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.r5/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": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 102174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/input/vocabulary/CodeSystem-spdx-license"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-special-values",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-special-values",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/special-values'"
            },
            "expression": [
              "CodeSystem/special-values: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 2482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 3115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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"
            ]
          }
        ]
      }
    },
    {
      "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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/strand-type: 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": "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.r5/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": 4749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/input/vocabulary/CodeSystem-structure-definition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-study-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-study-type",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/study-type'"
            },
            "expression": [
              "CodeSystem/study-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 4012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/subscription-channel-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/subscription-channel-type|5.0.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/subscription-channel-type)"
            },
            "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.r5/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": 2837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "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.r5/input/vocabulary/CodeSystem-subscription-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-subscription-tag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-tag",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/subscription-tag'"
            },
            "expression": [
              "CodeSystem/subscription-tag: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 2578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 1550
              },
              {
                "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": 1812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 1812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": 1812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published 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.r5/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": 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 '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.r5/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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/supplydelivery-type'"
            },
            "expression": [
              "CodeSystem/supplydelivery-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "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.r5/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.r5/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": 4951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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.r5/input/vocabulary/CodeSystem-surface"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-synthesis-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-synthesis-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/synthesis-type'"
            },
            "expression": [
              "CodeSystem/synthesis-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 5101
              },
              {
                "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": 5101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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.r5/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": 5573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 6694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/teeth'"
            },
            "expression": [
              "CodeSystem/teeth: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/input/vocabulary/CodeSystem-teeth"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-testscript-operation-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-operation-codes",
        "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/testscript-operation-codes has an 'all system' value set of http://hl7.org/fhir/ValueSet/testscript-operation-codes|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/restful-interaction)"
            },
            "expression": [
              "CodeSystem/testscript-operation-codes: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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.r5/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.r5/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": 2755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/transaction-mode'"
            },
            "expression": [
              "CodeSystem/transaction-mode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 5109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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.r5/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": 2542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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": 3592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.r5/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": 2144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/udi'"
            },
            "expression": [
              "CodeSystem/udi: CodeSystem.valueSet"
            ]
          },
          {
            "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 '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.r5/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": 2995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/unknown-content-code'"
            },
            "expression": [
              "CodeSystem/unknown-content-code: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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.r5/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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/usage-context-type'"
            },
            "expression": [
              "CodeSystem/usage-context-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "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": 4457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 9423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 9423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 9423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 227544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 227544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 227544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 10159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 10159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 10159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 10465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 10465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 10465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 21460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 21460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 21460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 39709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 39709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 39709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 31610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 31610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 31610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 16785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 16785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 16785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 8521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 8521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 8521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 10553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 10553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 10553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 93789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 93789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 93789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 27082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 27082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 27082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 83513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 83513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 83513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 28713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 28713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 28713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 13003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 13003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 13003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2242
              },
              {
                "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": 2242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 9772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 9772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 9772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 4659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0107: 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": 6061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 30521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 30521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 30521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 5088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 9836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 9836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 9836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 10174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 10174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 10174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 9332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 9332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 9332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0135: 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/v2-0135: 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": 2591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6924
              },
              {
                "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": 13401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 13401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 13401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0146: 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/v2-0146: 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": 4042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 4042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0147: 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": 2759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 34684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 34684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 34684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 8773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 8773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 8773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0159: 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": 4184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 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/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": 23465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 23465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 23465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 33053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 33053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 33053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 8670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 8670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 8670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 17515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 17515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 17515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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.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": 3283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0187: 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": 2569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 11054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 11054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 11054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 11531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 11531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 11531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0193: 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/v2-0193: 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": 15306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 15306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 15306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 52142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 52142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 52142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0204: 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/v2-0204: 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": 4348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0208: 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": 4075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2169
              },
              {
                "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": 16198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 16198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 16198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0213: 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/v2-0213: 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": 3232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0220: 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": 6177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 32948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 32948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 32948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0236: 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": 4195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 4195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0238: 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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0239: 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/v2-0239: 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": 5013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 35337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 35337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 35337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 9763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 9763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 9763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 17364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 17364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 17364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 16875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 16875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 16875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 10051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 10051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 10051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0273: 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/v2-0273: 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": 3767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3925
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3925
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3925
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0283: 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": 2797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0287: 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/v2-0287: 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": 32990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 32990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 32990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 10141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 10141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 10141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 68142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 68142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 68142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 13934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 13934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 13934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0321: 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": 2871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0334: 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": 13171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 13171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 13171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0339: 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/v2-0339: 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": 10379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 10379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 10379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 33412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 33412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 33412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 125023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 125023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 125023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 125023
              },
              {
                "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": 2627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 9840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 9840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 9840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 14505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 14505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 14505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 9120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 9120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 9120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 4677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 8378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 8378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 8378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 11372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 11372
              },
              {
                "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": 11372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 11372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0372: 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": 2730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0374: 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": 1915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 113274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 113274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 113274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 15645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 15645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 15645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0416: 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": 3545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4996
              },
              {
                "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": 2486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0436: 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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 37439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 37439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 37439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 13148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 13148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 13148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0444: 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/v2-0444: 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": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0472: 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": 3509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0477: 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": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0482: 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/v2-0482: 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": 4601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0484: 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/v2-0484: 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": 6481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 81981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 81981
              },
              {
                "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": 81981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 81981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 8086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 8086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 8086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 23994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 23994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 23994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0497: 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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0498: 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/v2-0498: 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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0499: 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/v2-0499: 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": 2617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0502: 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/v2-0502: 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": 2001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0507: 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": 3126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0510: 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": 2819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0518: 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/v2-0518: 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": 1951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0524: 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/v2-0524: 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": 4199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 4199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0527: 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": 5132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 8287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 8287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 8287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0547: 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/v2-0547: 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": 3073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 3073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0548: 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": 72298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 72298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 72298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0555: 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/v2-0555: 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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0556: 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/v2-0556: 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": 2124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 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/v2-0618: 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/v2-0618: 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": 1971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0653: 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": 1993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 6071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0755: 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": 2163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0834: 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": 2283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.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": 2393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0905: 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": 6236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 6236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 6236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 7057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 7057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 7057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 8804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 8804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 8804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 4086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 2035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 2035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 2035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 1947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 1947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 1947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 3123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 3123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 3609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-1: 'URL should not contain | or # - these characters make processing canonical references problematic' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v2-2.1-0006: CodeSystem.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD 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": 5918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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.r5/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": 13897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-1: 'URL should not contain | or # - these characters make processing canonical references problematic' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v2-2.3.1-0360: CodeSystem.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 24163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 24163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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.r5/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": 12938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-1: 'URL should not contain | or # - these characters make processing canonical references problematic' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v2-2.4-0006: CodeSystem.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 18203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 18203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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.r5/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": 3436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-1: 'URL should not contain | or # - these characters make processing canonical references problematic' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v2-2.4-0391: CodeSystem.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 5583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 5583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 5583
              },
              {
                "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.r5/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": 18983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-1: 'URL should not contain | or # - these characters make processing canonical references problematic' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v2-2.6-0391: CodeSystem.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 24342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 24342
              },
              {
                "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": 24342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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.r5/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": 8026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-1: 'URL should not contain | or # - these characters make processing canonical references problematic' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v2-2.7-0360: CodeSystem.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 11633
              },
              {
                "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": 11633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 11633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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.r5/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": 4826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as 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": 4826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by 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": 4826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementCondition: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailCode: CodeSystem"
            ]
          },
          {
            "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": 6506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6506
              },
              {
                "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": 6506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementType: CodeSystem"
            ]
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    {
      "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": 182546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 182546
              },
              {
                "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": 182546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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": 846025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 846025
              },
              {
                "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": 846025
              },
              {
                "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": 846025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActExposureLevelCode: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActInvoiceElementModifier: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActMood",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActMood",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActMood: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 7981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7981
              },
              {
                "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": 182137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "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": 182137
              },
              {
                "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": 182137
              },
              {
                "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": 182137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipCheckpoint: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActRelationshipJoin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipJoin",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipJoin: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActRelationshipSplit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipSplit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSplit: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActRelationshipSubset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipSubset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSubset: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 116886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 116886
              },
              {
                "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": 116886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ActStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ActUncertainty: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 16875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AddressPartType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16875
              },
              {
                "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AddressUse: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 2761
              },
              {
                "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": 3085
              },
              {
                "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": 3520
              },
              {
                "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"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-AmericanIndianAlaskaNativeLanguages: CodeSystem"
            ]
          },
          {
            "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",
        "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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-Calendar: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem"
            ]
          },
          {
            "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",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-CalendarType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-Charset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Charset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-Charset: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CodingRationale",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CodingRationale",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-CodingRationale: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CommunicationFunctionType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CommunicationFunctionType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-CommunicationFunctionType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-CompressionAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CompressionAlgorithm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-CompressionAlgorithm: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem"
            ]
          },
          {
            "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ContainerCap: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ContainerSeparator: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ContentProcessingMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContentProcessingMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ContentProcessingMode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ContextControl",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContextControl",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ContextControl: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-DataOperation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DataOperation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-DataOperation'"
            },
            "expression": [
              "CodeSystem/v3-DataOperation: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-DataOperation: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-Dentition: CodeSystem"
            ]
          },
          {
            "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",
        "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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-DeviceAlertLevel: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-DocumentCompletion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DocumentCompletion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-DocumentCompletion: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-DocumentStorage: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EducationLevel: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EmployeeJobClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EmployeeJobClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EmployeeJobClass: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EncounterAdmissionSource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EncounterAdmissionSource",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EncounterAdmissionSource: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EncounterSpecialCourtesy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EncounterSpecialCourtesy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityClass: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityCode: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityDeterminer: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityHandling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityHandling",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityHandling: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartQualifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartQualifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifier: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartQualifierR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartQualifierR2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifierR2: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNamePartTypeR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartTypeR2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartTypeR2: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNameUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNameUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUse: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EntityNameUseR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNameUseR2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUseR2: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityRisk: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EntityStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-EquipmentAlertLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EquipmentAlertLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-EquipmentAlertLevel: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-Ethnicity: CodeSystem"
            ]
          },
          {
            "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ExposureMode: CodeSystem"
            ]
          },
          {
            "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-GenderStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HL7ContextConductionStyle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7ContextConductionStyle",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-HL7ContextConductionStyle'"
            },
            "expression": [
              "CodeSystem/v3-HL7ContextConductionStyle: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-HL7ContextConductionStyle: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HL7StandardVersionCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7StandardVersionCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-HL7StandardVersionCode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HL7UpdateMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7UpdateMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-HL7UpdateMode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-HtmlLinkType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HtmlLinkType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-HtmlLinkType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-IdentifierReliability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IdentifierReliability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-IdentifierReliability: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-IdentifierScope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IdentifierScope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-IdentifierScope: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-IntegrityCheckAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IntegrityCheckAlgorithm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-IntegrityCheckAlgorithm: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LanguageAbilityMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LanguageAbilityMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityMode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LanguageAbilityProficiency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LanguageAbilityProficiency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityProficiency: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-LivingArrangement: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-LocalMarkupIgnore: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-LocalRemoteControlState",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LocalRemoteControlState",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-LocalRemoteControlState: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ManagedParticipationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ManagedParticipationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ManagedParticipationStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-MapRelationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MapRelationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-MapRelationship: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-MaritalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MaritalStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-MessageWaitingPriority: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ModifyIndicator: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-NullFlavor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-NullFlavor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ObservationCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationCategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ObservationCategory: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ObservationInterpretation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationInterpretation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 70747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ObservationMethod: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 120369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ObservationValue'"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 204808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ParticipationFunction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationFunction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ParticipationFunction: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 8726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8726
              },
              {
                "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ParticipationSignature: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ParticipationType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-PatientImportance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PatientImportance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-PatientImportance: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-PaymentTerms",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PaymentTerms",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-PaymentTerms: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-PersonDisabilityType: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ProbabilityDistributionType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ProcessingID",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProcessingID",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ProcessingID: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ProcessingMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProcessingMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ProcessingMode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryParameterValue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryParameterValue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-QueryParameterValue'"
            },
            "expression": [
              "CodeSystem/v3-QueryParameterValue: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-QueryParameterValue: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryPriority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryPriority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-QueryPriority: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-QueryRequestLimit: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-QueryResponse: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-QueryStatusCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryStatusCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2944
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-QueryStatusCode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-Race: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RelationalOperator: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RelationshipConjunction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RelationshipConjunction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RelationshipConjunction: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ReligiousAffiliation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ReligiousAffiliation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ReligiousAffiliation: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ResponseLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ResponseLevel: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ResponseModality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseModality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ResponseModality: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-ResponseMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-ResponseMode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RoleClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 113310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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": 225416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 225416
              },
              {
                "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": 225416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RoleLinkType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleLinkType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-RoleStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RoleStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem"
            ]
          },
          {
            "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-Sequencing: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-SetOperator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SetOperator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-SetOperator: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-SpecimenType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SpecimenType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-SpecimenType'"
            },
            "expression": [
              "CodeSystem/v3-SpecimenType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-SpecimenType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-SubstitutionCondition: CodeSystem"
            ]
          },
          {
            "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",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TableCellHorizontalAlign: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableCellScope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellScope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TableCellScope: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableCellVerticalAlign",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellVerticalAlign",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TableCellVerticalAlign: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableFrame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableFrame",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TableFrame: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TableRules",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableRules",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TableRules: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TargetAwareness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TargetAwareness",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TargetAwareness: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TelecommunicationCapabilities",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TelecommunicationCapabilities",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TelecommunicationCapabilities: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TimingEvent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TimingEvent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TransmissionRelationshipTypeCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TransmissionRelationshipTypeCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TransmissionRelationshipTypeCode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-TribalEntityUS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TribalEntityUS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 185947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-TribalEntityUS: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-VaccineManufacturer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-VaccineManufacturer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-VaccineManufacturer: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-WorkClassificationODH",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-WorkClassificationODH",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-WorkClassificationODH: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7ApprovalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7ApprovalStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7ApprovalStatus'"
            },
            "expression": [
              "CodeSystem/v3-hl7ApprovalStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7ApprovalStatus: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7CMETAttribution",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7CMETAttribution",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7CMETAttribution'"
            },
            "expression": [
              "CodeSystem/v3-hl7CMETAttribution: CodeSystem.valueSet"
            ]
          },
          {
            "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7CMETAttribution: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7ITSType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7ITSType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7ITSType'"
            },
            "expression": [
              "CodeSystem/v3-hl7ITSType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7ITSType: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7ITSVersionCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7ITSVersionCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7ITSVersionCode'"
            },
            "expression": [
              "CodeSystem/v3-hl7ITSVersionCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7ITSVersionCode: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7PublishingDomain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7PublishingDomain",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7PublishingDomain'"
            },
            "expression": [
              "CodeSystem/v3-hl7PublishingDomain: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7PublishingDomain: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7PublishingSection",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7PublishingSection",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7PublishingSection'"
            },
            "expression": [
              "CodeSystem/v3-hl7PublishingSection: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7PublishingSection: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7PublishingSubSection",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7PublishingSubSection",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7PublishingSubSection'"
            },
            "expression": [
              "CodeSystem/v3-hl7PublishingSubSection: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7PublishingSubSection: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7Realm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7Realm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7Realm'"
            },
            "expression": [
              "CodeSystem/v3-hl7Realm: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7Realm: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7V3Conformance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7V3Conformance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7V3Conformance'"
            },
            "expression": [
              "CodeSystem/v3-hl7V3Conformance: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7V3Conformance: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-hl7VoteResolution",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7VoteResolution",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-hl7VoteResolution'"
            },
            "expression": [
              "CodeSystem/v3-hl7VoteResolution: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-hl7VoteResolution: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-orderableDrugForm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-orderableDrugForm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-orderableDrugForm'"
            },
            "expression": [
              "CodeSystem/v3-orderableDrugForm: CodeSystem.valueSet"
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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": 62631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-orderableDrugForm: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-policyHolderRole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-policyHolderRole",
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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": 2383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-policyHolderRole'"
            },
            "expression": [
              "CodeSystem/v3-policyHolderRole: CodeSystem.valueSet"
            ]
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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": 2431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-policyHolderRole: 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_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"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-styleType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-styleType",
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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": 6446
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              {
                "url": "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"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-styleType'"
            },
            "expression": [
              "CodeSystem/v3-styleType: CodeSystem.valueSet"
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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": 9171
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-styleType: CodeSystem"
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-v3-substanceAdminSubstitution",
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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-source",
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution'"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.valueSet"
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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": 10973
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueInteger": 4140
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                "url": "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"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-triggerEventID'"
            },
            "expression": [
              "CodeSystem/v3-triggerEventID: CodeSystem.valueSet"
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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": 5125
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/v3-triggerEventID: CodeSystem"
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        "id": "CodeSystem-variable-type",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "valueInteger": 2273
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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_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/variable-type'"
            },
            "expression": [
              "CodeSystem/variable-type: CodeSystem.valueSet"
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                "url": "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/variable-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/variable-type vs http://hl7.org/fhir/variable-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-variable-type"
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-variant-state",
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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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/variant-state'"
            },
            "expression": [
              "CodeSystem/variant-state: CodeSystem.valueSet"
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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": 2744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/variant-state: CodeSystem"
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-can-push-updates",
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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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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"
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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": 2826
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              {
                "url": "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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            "code": "business-rule",
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              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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            "expression": [
              "CodeSystem/verificationresult-can-push-updates: CodeSystem.concept[0]"
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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/verificationresult-can-push-updates vs http://terminology.hl7.org/CodeSystem/can-push-updates"
            },
            "expression": [
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            "severity": "warning",
            "code": "invariant",
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              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
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            "expression": [
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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_VAL_STATUS_INCONSISTENT"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
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            "expression": [
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
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            "expression": [
              "CodeSystem/verificationresult-failure-action: CodeSystem"
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            "code": "business-rule",
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              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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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/verificationresult-failure-action vs http://terminology.hl7.org/CodeSystem/failure-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/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": 2854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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.r5/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": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/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.r5/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": 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#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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": 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/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.r5/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": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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": 3178
              },
              {
                "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|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/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.r5/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": 3039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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": 3039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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]"
            ]
          },
          {
            "extension": [
              {
                "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-validation-process vs http://terminology.hl7.org/CodeSystem/validation-process"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-verificationresult-validation-process"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-validation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-validation-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-status: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "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-validation-status vs http://terminology.hl7.org/CodeSystem/validation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-verificationresult-validation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-verificationresult-validation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-validation-type",
        "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": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable 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-type: CodeSystem"
            ]
          },
          {
            "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": "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-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-validation-type vs http://terminology.hl7.org/CodeSystem/validation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-verificationresult-validation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-versioning-policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-versioning-policy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/versioning-policy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/versioning-policy vs http://hl7.org/fhir/versioning-policy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-versioning-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-vision-base-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-base-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/vision-base-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "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.r5/input/vocabulary/CodeSystem-vision-base-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-vision-eye-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-eye-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/vision-eye-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.0/CodeSystem/vision-eye-codes vs http://hl7.org/fhir/vision-eye-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-vision-eye-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-vision-product",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-product",
        "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/vision-product vs http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4.r5/input/vocabulary/CodeSystem-vision-product"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/CodeSystem-w3c-provenance-activity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-w3c-provenance-activity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/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.r5/input/vocabulary/CodeSystem-w3c-provenance-activity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-FHIR-version-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-FHIR-version-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-abstract-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-abstract-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-abstract-types-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-account-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-account-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-account-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-account-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-account-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-account-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-cardinality-behavior-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-cardinality-behavior-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-cardinality-behavior-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-condition-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-condition-kind-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-action-condition-kind-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-grouping-behavior-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-grouping-behavior-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-action-grouping-behavior-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-participant-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-participant-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2345
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-participant-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-participant-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-precheck-behavior-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-precheck-behavior-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-relationship-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-relationship-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4810
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-required-behavior-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-required-behavior-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-selection-behavior-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-selection-behavior-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-action-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-action-type-for-R5",
        "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-action-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-activity-definition-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-activity-definition-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-additional-instruction-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-additional-instruction-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-additionalmaterials-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-additionalmaterials-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-additionalmaterials-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-address-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-address-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-address-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-address-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-address-use-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adjudication-error-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adjudication-error-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adjudication-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adjudication-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adjudication-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adjudication-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-adjudication-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-administration-method-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-administration-method-codes-for-R5",
        "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 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4-administration-method-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-administrative-gender-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-administrative-gender-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-actuality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-actuality-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-adverse-event-actuality-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-causality-assess-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-causality-assess-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7551
              },
              {
                "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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-adverse-event-causality-assess-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-causality-method-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-causality-method-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-adverse-event-causality-method-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-outcome-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5489
              },
              {
                "url": "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-adverse-event-outcome-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-seriousness-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-seriousness-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-severity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-severity-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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-adverse-event-severity-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-adverse-event-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-adverse-event-type-for-R5",
        "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"
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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-adverse-event-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-age-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-age-units-for-R5",
        "issue": [
          {
            "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"
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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-age-units-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-all-distance-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-all-distance-units-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-all-time-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-all-time-units-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-all-time-units-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-all-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-all-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allelename-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allelename-for-R5",
        "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": "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-R5: 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": 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-allelename-for-R5: 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/r5: Unable to provide support for code system http://www.ebi.ac.uk/ipd/imgt/hla"
            },
            "expression": [
              "ValueSet.where(id = 'R4-allelename-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allerg-intol-substance-exp-risk-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allerg-intol-substance-exp-risk-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergy-intolerance-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergy-intolerance-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergy-intolerance-criticality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergy-intolerance-criticality-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergy-intolerance-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergy-intolerance-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-allergy-intolerance-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergyintolerance-clinical-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergyintolerance-clinical-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergyintolerance-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergyintolerance-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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-R5: 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-R5: 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-R5: 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-R5: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-allergyintolerance-verification-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-allergyintolerance-verification-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-allergyintolerance-verification-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-animal-breeds-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-animal-breeds-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-animal-genderstatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-animal-genderstatus-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-animal-species-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-animal-species-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 4733
              },
              {
                "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 '125097000' is not valid in the system http://snomed.info/sct version 4.0.1 (125097000)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 4772
              },
              {
                "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 '125099002' is not valid in the system http://snomed.info/sct version 4.0.1 (125099002)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 4808
              },
              {
                "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 '34618005' is not valid in the system http://snomed.info/sct version 4.0.1 (34618005)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 4848
              },
              {
                "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 '425134008' is not valid in the system http://snomed.info/sct version 4.0.1 (425134008)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 4888
              },
              {
                "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 '47290002' is not valid in the system http://snomed.info/sct version 4.0.1 (47290002)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 4926
              },
              {
                "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 '396620009' is not valid in the system http://snomed.info/sct version 4.0.1 (396620009)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 4965
              },
              {
                "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 '388445009' is not valid in the system http://snomed.info/sct version 4.0.1 (388445009)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 5004
              },
              {
                "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 '85626006' is not valid in the system http://snomed.info/sct version 4.0.1 (85626006)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: 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": 5042
              },
              {
                "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 '132950000' is not valid in the system http://snomed.info/sct version 4.0.1 (132950000)"
            },
            "expression": [
              "ValueSet/R4-animal-species-for-R5: ValueSet.compose.include[0].concept[9]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-appointment-cancellation-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-appointment-cancellation-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2258
              },
              {
                "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-R5: 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": 2258
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-appointmentstatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-appointmentstatus-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-approach-site-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-approach-site-codes-for-R5",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-assert-direction-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-assert-direction-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-assert-direction-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-assert-operator-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-assert-operator-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-assert-response-code-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-assert-response-code-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-asset-availability-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-asset-availability-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-entity-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-audit-entity-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-action-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-audit-event-action-for-R5",
        "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 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4-audit-event-action-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-audit-event-outcome-for-R5",
        "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 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4-audit-event-outcome-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-sub-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-audit-event-sub-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-sub-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-event-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-audit-event-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-audit-source-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-audit-source-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-basic-resource-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-basic-resource-type-for-R5",
        "issue": [
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-benefit-network-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-benefit-network-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "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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              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-benefit-term-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-benefit-term-for-R5",
        "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": 3248
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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-term-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-benefit-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-benefit-type-for-R5",
        "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": 5519
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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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-body-site-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-body-site-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-body-site-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-bodysite-laterality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-bodysite-laterality-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-bodystructure-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-bodystructure-code-for-R5",
        "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": 2170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-bodystructure-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-bodystructure-relative-location-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-bodystructure-relative-location-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3881
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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-bodystructure-relative-location-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-c80-doc-typecodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-c80-doc-typecodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196531
              },
              {
                "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 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R4-c80-doc-typecodes-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-c80-facilitycodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-c80-facilitycodes-for-R5",
        "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": 16195
              },
              {
                "url": "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 '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-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-c80-practice-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21049
              },
              {
                "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 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R4-c80-practice-codes-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-plan-activity-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-plan-activity-kind-for-R5",
        "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": 7634
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              {
                "url": "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-care-plan-activity-kind-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-plan-activity-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-plan-activity-outcome-for-R5",
        "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": 2214
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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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-care-plan-activity-outcome-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-plan-activity-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-plan-activity-status-for-R5",
        "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": 7746
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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-plan-activity-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-plan-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-plan-category-for-R5",
        "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": 2140
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              {
                "url": "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": [
              "ValueSet/R4-care-plan-category-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-care-team-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-care-team-category-for-R5",
        "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": 3971
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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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-care-team-category-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-certainty-subcomponent-rating-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-certainty-subcomponent-rating-for-R5",
        "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 '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-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-certainty-subcomponent-type-for-R5",
        "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-choice-list-orientation-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-choice-list-orientation-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-informationcategory-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-claim-informationcategory-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-modifiers-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-claim-modifiers-for-R5",
        "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-claim-modifiers-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-subtype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-claim-subtype-for-R5",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-claim-subtype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-claim-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-claim-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-claim-use-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinical-findings-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-clinical-findings-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinicalimpression-prognosis-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-clinicalimpression-prognosis-for-R5",
        "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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-clinicalimpression-prognosis-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinicalimpression-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-clinicalimpression-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-clinicalimpression-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-clinvar-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-clinvar-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-clinvar-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "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-R5: 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/r5: Unable to provide support for code system http://www.ncbi.nlm.nih.gov/clinvar"
            },
            "expression": [
              "ValueSet.where(id = 'R4-clinvar-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-code-search-support-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-code-search-support-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-codesystem-altcode-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-codesystem-altcode-kind-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-codesystem-content-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-codesystem-content-mode-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-codesystem-hierarchy-meaning-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-codesystem-hierarchy-meaning-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-common-tags-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-common-tags-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-communication-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-communication-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-communication-not-done-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-communication-not-done-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-communication-not-done-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-communication-topic-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-communication-topic-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-communication-topic-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-compartment-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-compartment-type-for-R5",
        "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-compartment-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composite-measure-scoring-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-composite-measure-scoring-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composition-altcode-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-composition-altcode-kind-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composition-attestation-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-composition-attestation-mode-for-R5",
        "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": 3559
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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 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-composition-status-for-R5",
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        "resourceType": "OperationOutcome",
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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"
              }
            ],
            "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-concept-map-equivalence-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-concept-map-equivalence-for-R5",
        "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-concept-map-equivalence-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-concept-property-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-concept-property-type-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-concept-subsumption-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-concept-subsumption-outcome-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-conceptmap-unmapped-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conceptmap-unmapped-mode-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-category-for-R5",
        "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",
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-cause-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-cause-for-R5",
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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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-condition-cause-for-R5: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-clinical-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-clinical-for-R5",
        "issue": [
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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": [
              "ValueSet/R4-condition-clinical-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-code-for-R5",
        "issue": [
          {
            "extension": [
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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"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "ValueSet/R4-condition-code-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-outcome-for-R5",
        "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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            ],
            "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"
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            "expression": [
              "ValueSet/R4-condition-outcome-for-R5: ValueSet"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-predecessor-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-predecessor-for-R5",
        "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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            ],
            "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"
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            "expression": [
              "ValueSet/R4-condition-predecessor-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-severity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-severity-for-R5",
        "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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            ],
            "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"
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-stage-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-stage-for-R5",
        "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-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-stage-type-for-R5",
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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-state-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-condition-state-for-R5",
        "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",
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-condition-ver-status-for-R5",
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        "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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                "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-conditional-delete-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conditional-delete-status-for-R5",
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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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-conditional-delete-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-conditional-read-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conditional-read-status-for-R5",
        "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",
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-conformance-expectation-for-R5",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-conformance-expectation-for-R5",
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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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            ],
            "severity": "warning",
            "code": "business-rule",
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            "expression": [
              "ValueSet/R4-conformance-expectation-for-R5: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-action-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-action-for-R5",
        "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 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-category-for-R5",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-category-for-R5",
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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 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R4-consent-category-for-R5: ValueSet"
            ]
          },
          {
            "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"
              }
            ],
            "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-content-class-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-content-class-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/formatcodes'"
            },
            "expression": [
              "ValueSet/R4-consent-content-class-for-R5: 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": 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 '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-R5: 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/formatcodes could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R4-consent-content-class-for-R5: 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/formatcodes'"
            },
            "expression": [
              "ValueSet.where(id = 'R4-consent-content-class-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-content-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-content-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-performer-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-performer-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-scope-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-scope-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-scope-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consent-state-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consent-state-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-state-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-consistency-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-consistency-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contact-point-system-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contact-point-system-for-R5",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contact-point-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contact-point-use-for-R5",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contactentity-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contactentity-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-container-cap-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-container-cap-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-container-material-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-container-material-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-container-material-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-action-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-action-for-R5",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-action-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-actionstatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-actionstatus-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-actorrole-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-actorrole-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-assetscope-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-assetscope-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-assettype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-assettype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-data-meaning-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-data-meaning-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4972
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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-data-meaning-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-legalstate-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-legalstate-for-R5",
        "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": 3164
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              {
                "url": "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-legalstate-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-party-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-party-role-for-R5",
        "issue": [
          {
            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2755
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              {
                "url": "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-party-role-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-publicationstatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-publicationstatus-for-R5",
        "issue": [
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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": 8812
              },
              {
                "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-publicationstatus-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-scope-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-scope-for-R5",
        "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": 2682
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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-scope-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-security-classification-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-security-classification-for-R5",
        "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": 2934
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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-security-classification-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-signer-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-signer-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21224
              },
              {
                "url": "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-signer-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-status-for-R5",
        "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": 7917
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              {
                "url": "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-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-subtype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-subtype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-subtype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-term-subtype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-term-subtype-for-R5",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-term-subtype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-term-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-term-type-for-R5",
        "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-contract-term-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contract-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contract-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-contract-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-contributor-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-contributor-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-copy-number-event-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-copy-number-event-for-R5",
        "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 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4-copy-number-event-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-cosmic-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-cosmic-for-R5",
        "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": "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-R5: 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": 2257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-cosmic-for-R5: 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/r5: Unable to provide support for code system http://cancer.sanger.ac.uk/cancergenome/projects/cosmic"
            },
            "expression": [
              "ValueSet.where(id = 'R4-cosmic-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-class-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverage-class-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-coverage-class-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-copay-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverage-copay-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-financial-exception-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverage-financial-exception-for-R5",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-coverage-financial-exception-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-selfpay-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-coverage-selfpay-for-R5",
        "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",
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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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverage-type-for-R5",
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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 '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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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-coverageeligibilityresponse-ex-auth-support-for-R5",
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        "resourceType": "OperationOutcome",
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            ],
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            "code": "business-rule",
            "details": {
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    {
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            ],
            "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"
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            "expression": [
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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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    },
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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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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                "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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                "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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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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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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                "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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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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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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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
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            "expression": [
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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",
                "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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                "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-R5: ValueSet.expansion.contains[20].system"
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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'"
            },
            "expression": [
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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'"
            },
            "expression": [
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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'"
            },
            "expression": [
              "ValueSet/R4-currencies-for-R5: ValueSet.expansion.contains[23].system"
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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": [
              "ValueSet/R4-currencies-for-R5: ValueSet.expansion.contains[24].system"
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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": [
              "ValueSet/R4-currencies-for-R5: ValueSet.expansion.contains[25].system"
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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": "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": [
              "ValueSet/R4-currencies-for-R5: ValueSet.expansion.contains[27].system"
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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"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:iso:std:iso:4217'"
            },
            "expression": [
              "ValueSet/R4-currencies-for-R5: ValueSet.expansion.contains[28].system"
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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": 11687
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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-R5: ValueSet.expansion.contains[29].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-data-absent-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-data-absent-reason-for-R5",
        "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": 4088
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              {
                "url": "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-data-absent-reason-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-data-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-data-types-for-R5",
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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-data-types-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dataelement-sdcobjectclass-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dataelement-sdcobjectclass-for-R5",
        "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": 2718
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              {
                "url": "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-dataelement-sdcobjectclass-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dataelement-sdcobjectclassproperty-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dataelement-sdcobjectclassproperty-for-R5",
        "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": 2774
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              {
                "url": "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-dataelement-sdcobjectclassproperty-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-days-of-week-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-days-of-week-for-R5",
        "issue": [
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-days-of-week-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dbsnp-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dbsnp-for-R5",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-dbsnp-for-R5: 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": 2203
              },
              {
                "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/projects/SNP' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R4-dbsnp-for-R5: ValueSet.compose.include[0]"
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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/r5: Unable to provide support for code system http://www.ncbi.nlm.nih.gov/projects/SNP"
            },
            "expression": [
              "ValueSet.where(id = 'R4-dbsnp-for-R5')"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-defined-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-defined-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138806
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              {
                "url": "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-defined-types-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-definition-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-definition-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-definition-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-definition-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-definition-topic-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-definition-topic-for-R5",
        "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": 2823
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-definition-topic-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-definition-use-for-R5",
      "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",
                "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-definition-use-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-designation-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-designation-use-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-detectedissue-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-detectedissue-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-detectedissue-mitigation-action-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-detectedissue-mitigation-action-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-mitigation-action-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-detectedissue-severity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-detectedissue-severity-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-action-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-action-for-R5",
        "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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-device-action-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-component-property-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-component-property-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-definition-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-definition-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-kind-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-nametype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-nametype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-safety-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-safety-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3915
              },
              {
                "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-R5: 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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-statement-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-statement-status-for-R5",
        "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 '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-status-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-status-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-device-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-device-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2079
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-devicemetric-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-devicemetric-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnosis-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-diagnosis-role-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnostic-based-on-snomed-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-diagnostic-based-on-snomed-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnostic-report-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-diagnostic-report-status-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diagnostic-service-sections-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-diagnostic-service-sections-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dicm-405-mediatype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dicm-405-mediatype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dicom-cid-29-AcquisitionModality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dicom-cid-29-AcquisitionModality-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-diet-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-diet-type-for-R5",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-diet-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-discriminator-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-discriminator-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-discriminator-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-distance-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-distance-units-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-doc-section-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-doc-section-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-doc-typecodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-doc-typecodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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-R5: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-classcodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-document-classcodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-document-mode-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-document-mode-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-reference-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-document-reference-status-for-R5",
        "issue": [
          {
            "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-document-relationship-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-document-relationship-type-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-dose-rate-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-dose-rate-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-duration-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-duration-units-for-R5",
        "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": [
              "ValueSet/R4-duration-units-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-effect-estimate-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-effect-estimate-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-eligibilityrequest-purpose-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-eligibilityrequest-purpose-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-eligibilityrequest-purpose-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-eligibilityresponse-purpose-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-eligibilityresponse-purpose-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-eligibilityresponse-purpose-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-encounter-admit-source-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-encounter-admit-source-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-encounter-admit-source-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-encounter-diet-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-encounter-diet-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-encounter-participant-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
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            ],
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
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            "expression": [
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              {
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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:oid:1.3.6.1.4.1.19376.1.2.3'"
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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": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
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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": "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:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
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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"
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            ],
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
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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": "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:oid:1.3.6.1.4.1.19376.1.2.3'"
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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": "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:oid:1.3.6.1.4.1.19376.1.2.3'"
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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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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "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:oid:1.3.6.1.4.1.19376.1.2.3'"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
            "details": {
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              {
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              {
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
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            "code": "invalid",
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              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
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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:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4-endpoint-payload-type-for-R5: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[19].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 18011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[22].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[23].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[24].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[25].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[26].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[27].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[28].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[29].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[30].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-endpoint-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-endpoint-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-endpoint-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ensembl-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ensembl-for-R5",
        "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": "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-R5: 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": 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-ensembl-for-R5: 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/r5: Unable to provide support for code system http://www.ensembl.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4-ensembl-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-entformula-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-entformula-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20791
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-or-request-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-event-or-request-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-event-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-event-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-event-timing-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-event-timing-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-evidence-quality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-evidence-quality-for-R5",
        "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": [
              "ValueSet/R4-evidence-quality-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-evidence-variant-state-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-evidence-variant-state-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-benefitcategory-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-benefitcategory-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-diagnosis-on-admission-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-diagnosis-on-admission-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-diagnosisrelatedgroup-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-diagnosisrelatedgroup-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-diagnosistype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-diagnosistype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-onsettype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-onsettype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-onsettype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-payee-resource-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-payee-resource-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-paymenttype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-paymenttype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-procedure-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-procedure-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-ex-procedure-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-program-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-program-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ex-revenue-center-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ex-revenue-center-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-expansion-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-example-expansion-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-extensional-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-example-extensional-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-filter-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-example-filter-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-example-filter-for-R5: ValueSet"
            ]
          },
          {
            "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"
              }
            ],
            "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 '5.0.0', found versions: 4.0.1, 5.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/CodeSystem/example' to 'http://hl7.org/fhir/CodeSystem/example|5.0.0'"
            },
            "expression": [
              "ValueSet/R4-example-filter-for-R5: 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/r5: The filter \"acme-plasma = true\" from the value set http://hl7.org/fhir/4.0/ValueSet/R4-example-filter-for-R5 was not understood in the context of http://hl7.org/fhir/CodeSystem/example (3))"
            },
            "expression": [
              "ValueSet.where(id = 'R4-example-filter-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-hierarchical-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-example-hierarchical-for-R5",
        "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": "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: R4-example-hierarchical-for-R5-http://hl7.org/fhir/hacked-login (2x)"
            },
            "expression": [
              "ValueSet/R4-example-hierarchical-for-R5: ValueSet.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 5815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 5914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 6745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: 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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-example-intensional-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-example-intensional-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-example-intensional-for-R5: 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-R5: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-examplescenario-actor-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-examplescenario-actor-type-for-R5",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-expansion-parameter-source-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-expansion-parameter-source-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-expansion-processing-rule-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-expansion-processing-rule-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-explanationofbenefit-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-explanationofbenefit-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-exposure-state-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-exposure-state-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-exposure-state-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-expression-language-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-expression-language-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-expression-language-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-extension-context-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-extension-context-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-feeding-device-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-feeding-device-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "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, 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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-filter-operator-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-filter-operator-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-financial-taskcode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-financial-taskcode-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-financial-taskinputtype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-financial-taskinputtype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-flag-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-flag-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-flag-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-flag-priority-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-flag-priority-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-flag-priority-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-fm-conditions-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-fm-conditions-for-R5",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-fm-conditions-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-fm-itemtype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-fm-itemtype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-focal-subject-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-focal-subject-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-focal-subject-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '83418008' is not valid in the system http://snomed.info/sct version 4.0.1 (83418008)"
            },
            "expression": [
              "ValueSet/R4-focal-subject-for-R5: ValueSet.compose.include[0].concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-food-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-food-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-food-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-formatcodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-formatcodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 32115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 32251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 32387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 32523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 32683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 32857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 33019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 33182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 33349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 33539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
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              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem'"
            },
            "expression": [
              "ValueSet/R4-formatcodes-for-R5: ValueSet.expansion.contains[64].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[65].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[66].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[67].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[68].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[69].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[70].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[71].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[72].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: ValueSet.expansion.contains[73].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-gender-identity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-gender-identity-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-gender-identity-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-genenames-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-genenames-for-R5",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-genenames-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "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-R5: 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/r5: Unable to provide support for code system http://www.genenames.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4-genenames-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-acceptance-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-goal-acceptance-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-goal-acceptance-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-goal-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-relationship-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-goal-relationship-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-start-event-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-goal-start-event-for-R5",
        "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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-goal-start-event-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-goal-status-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-goal-status-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-graph-compartment-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-graph-compartment-use-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-graph-compartment-use-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-group-measure-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-group-measure-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-group-measure-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-group-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-group-type-for-R5",
        "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-group-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-hl7-work-group-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-hl7-work-group-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-icd-10-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-icd-10-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 3454
              },
              {
                "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-R5: 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": 3491
              },
              {
                "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-R5: 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": 3528
              },
              {
                "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-R5: 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": 3565
              },
              {
                "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-R5: 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": 3602
              },
              {
                "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-R5: 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": 3639
              },
              {
                "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-R5: ValueSet.compose.include[0].concept[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-evaluation-dose-status-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-evaluation-dose-status-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-dose-status-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-evaluation-target-disease-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-evaluation-target-disease-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-reason-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-date-criterion-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-recommendation-date-criterion-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-recommendation-reason-for-R5",
        "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 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-recommendation-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-recommendation-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-recommendation-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-recommendation-target-disease-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-recommendation-target-disease-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-route-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-route-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-route-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-status-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-status-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-status-reason-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3777
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-subpotent-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-subpotent-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4-immunization-subpotent-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-immunization-target-disease-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-immunization-target-disease-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-implantStatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-implantStatus-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-implantStatus-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-inactive-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-inactive-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-inactive-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-instance-availability-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-instance-availability-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-insuranceplan-applicability-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-insuranceplan-applicability-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-insuranceplan-applicability-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-insuranceplan-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-insuranceplan-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-intervention-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-intervention-for-R5",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-intervention-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-investigation-sets-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-investigation-sets-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-invoice-priceComponentType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-invoice-priceComponentType-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-invoice-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-invoice-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-invoice-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-iso3166-1-2-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-iso3166-1-2-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-iso3166-1-3-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-iso3166-1-3-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-iso3166-1-3-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-iso3166-1-N-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-iso3166-1-N-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-iso3166-1-N-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-issue-severity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-issue-severity-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-issue-severity-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-issue-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-issue-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-item-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-item-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-jurisdiction-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-jurisdiction-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-knowledge-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-knowledge-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-language-preference-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-language-preference-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-languages-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-languages-for-R5",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-manifestation-or-symptom-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-manifestation-or-symptom-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-map-context-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-map-context-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-map-context-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-map-group-type-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-map-group-type-mode-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-map-group-type-mode-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-marital-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-marital-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-marital-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-match-grade-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-match-grade-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-media-modality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-media-modality-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-R5: 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": 2294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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-R5: 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-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-media-view-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-media-view-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-admin-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medication-admin-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-admin-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-as-needed-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medication-as-needed-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medication-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4-medication-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-form-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medication-form-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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-R5: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-statement-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medication-statement-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-statement-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medication-statement-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medication-statement-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-statement-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medicationdispense-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medicationdispense-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4-medicationdispense-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-medicationrequest-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-medicationrequest-status-for-R5",
        "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": "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-medicationrequest-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-message-events-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-message-events-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2056
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "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 '5.0.0', found versions: 4.0.1, 5.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/message-events' to 'http://hl7.org/fhir/message-events|5.0.0'"
            },
            "expression": [
              "ValueSet/R4-message-events-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-metric-color-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-metric-color-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-metric-color-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-modified-foodtype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-modified-foodtype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-modified-foodtype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-name-assembly-order-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-name-assembly-order-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-name-assembly-order-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-name-part-qualifier-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-name-part-qualifier-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-name-part-qualifier-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-name-v3-representation-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-name-v3-representation-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-name-v3-representation-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-namingsystem-identifier-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-namingsystem-identifier-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-namingsystem-identifier-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-network-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-network-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4-network-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-nutrient-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-nutrient-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-object-lifecycle-events-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-object-lifecycle-events-for-R5",
        "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": 30368
              },
              {
                "url": "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 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4-object-lifecycle-events-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-observation-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-observation-codes-for-R5",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-observation-methods-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-observation-methods-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-observation-methods-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-operation-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-operation-outcome-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-operation-parameter-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-operation-parameter-use-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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-parameter-use-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-oral-prosthodontic-material-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-oral-prosthodontic-material-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-oral-prosthodontic-material-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-organization-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-organization-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-organization-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-organization-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-orientation-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-orientation-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-parameter-group-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-parameter-group-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8069
              },
              {
                "url": "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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-parent-relationship-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-parent-relationship-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participant-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participant-role-for-R5",
        "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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-participant-role-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('394730007')"
            },
            "expression": [
              "ValueSet/R4-participant-role-for-R5: ValueSet.compose.include[2].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participantrequired-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participantrequired-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participation-role-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participation-role-type-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-participationstatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-participationstatus-for-R5",
        "issue": [
          {
            "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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-participationstatus-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-patient-contactrelationship-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-patient-contactrelationship-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-patient-contactrelationship-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payeetype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-payeetype-for-R5",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-payeetype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payment-adjustment-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-payment-adjustment-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4-payment-adjustment-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payment-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-payment-status-for-R5",
        "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-payment-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-payment-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-payment-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-payment-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-performer-function-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-performer-function-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-performer-function-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-performer-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-performer-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-permitted-data-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-permitted-data-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-plan-definition-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-plan-definition-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-postal-address-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-postal-address-use-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-postal-address-use-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-practitioner-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-practitioner-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-practitioner-specialty-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-practitioner-specialty-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-practitioner-specialty-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-precision-estimate-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-precision-estimate-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-prepare-patient-prior-specimen-collection-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-prepare-patient-prior-specimen-collection-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-probability-distribution-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-probability-distribution-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-procedure-category-for-R5",
        "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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-procedure-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-procedure-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-followup-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-procedure-followup-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-procedure-followup-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-not-performed-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-procedure-not-performed-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-procedure-not-performed-reason-for-R5: 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-R5: 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-R5: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-procedure-outcome-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-procedure-outcome-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-progress-status-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-procedure-progress-status-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4-procedure-progress-status-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-procedure-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-procedure-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-process-priority-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-process-priority-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-product-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-product-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-product-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-product-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-product-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-product-storage-scale-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-product-storage-scale-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-program-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-program-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          },
          {
            "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"
              }
            ],
            "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-R5: 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": 1996
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-property-representation-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-property-representation-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-activity-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-activity-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-agent-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-agent-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-agent-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-agent-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-entity-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-entity-role-for-R5",
        "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 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4-provenance-entity-role-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-history-agent-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-history-agent-type-for-R5",
        "issue": [
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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 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4-provenance-history-agent-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provenance-history-record-activity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provenance-history-record-activity-for-R5",
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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 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4-provenance-history-record-activity-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provider-qualification-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provider-qualification-for-R5",
        "issue": [
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              {
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                "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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-provider-taxonomy-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-provider-taxonomy-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-publication-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-publication-status-for-R5",
        "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-publication-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-quality-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-quality-type-for-R5",
        "issue": [
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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 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4-quality-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-quantity-comparator-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
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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-question-max-occurs-for-R5",
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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": {
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            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-answers-for-R5",
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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": {
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            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-answers-status-for-R5",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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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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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-category-for-R5",
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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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                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "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)"
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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 '273820006' is not valid in the system http://snomed.info/sct version 4.0.1 (273820006)"
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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 '273479001' is not valid in the system http://snomed.info/sct version 4.0.1 (273479001)"
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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 '273384008' is not valid in the system http://snomed.info/sct version 4.0.1 (273384008)"
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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 '304784009' is not valid in the system http://snomed.info/sct version 4.0.1 (304784009)"
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            "expression": [
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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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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-enable-behavior-for-R5",
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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"
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-enable-operator-for-R5",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-questionnaire-item-control-for-R5",
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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",
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            "expression": [
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    },
    {
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        "resourceType": "OperationOutcome",
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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-questionnaire-usage-mode-for-R5",
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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-questionnaireresponse-mode-for-R5",
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    {
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            ],
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            "code": "business-rule",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reaction-event-severity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
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            ],
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            "expression": [
              "ValueSet/R4-reaction-event-severity-for-R5: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reason-medication-given-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-reason-medication-given-codes-for-R5",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reason-medication-not-given-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-reason-medication-not-given-codes-for-R5",
        "issue": [
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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 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reason-medication-status-codes-for-R5",
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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": {
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            "expression": [
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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-R5",
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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",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ref-sequences-for-R5",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.ncbi.nlm.nih.gov/nuccore'"
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            "expression": [
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          },
          {
            "extension": [
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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",
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            "expression": [
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          {
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                "valueString": "TerminologyEngine"
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            ],
            "severity": "warning",
            "code": "exception",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-reference-handling-policy-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-reference-handling-policy-for-R5",
        "issue": [
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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-reference-version-rules-for-R5",
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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-referencerange-appliesto-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
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            ],
            "severity": "warning",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-referencerange-meaning-for-R5",
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        "resourceType": "OperationOutcome",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-rejection-criteria-for-R5",
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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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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-related-artifact-type-for-R5",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-related-claim-relationship-for-R5",
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        "resourceType": "OperationOutcome",
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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 '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-relatedperson-relationshiptype-for-R5",
      "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",
                "valueInteger": 78144
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              {
                "url": "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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-relation-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-relation-type-for-R5",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-relation-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-relationship-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-relationship-for-R5",
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              {
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                "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-relationship-for-R5: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-remittance-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-remittance-outcome-for-R5",
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              {
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                "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-remittance-outcome-for-R5: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-action-result-codes-for-R5",
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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 '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-report-codes-for-R5",
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        "resourceType": "OperationOutcome",
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            ],
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            },
            "expression": [
              "ValueSet/R4-report-codes-for-R5: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-participant-type-for-R5",
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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 '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-report-result-codes-for-R5",
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        "resourceType": "OperationOutcome",
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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": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-report-status-codes-for-R5",
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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": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-repository-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-repository-type-for-R5",
        "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": {
              "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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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-request-intent-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-request-intent-for-R5",
        "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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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-request-priority-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-request-priority-for-R5",
        "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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            ],
            "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-request-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-request-resource-types-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-request-status-for-R5",
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        "resourceType": "OperationOutcome",
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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-research-element-type-for-R5",
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        "resourceType": "OperationOutcome",
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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-study-objective-type-for-R5",
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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": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-phase-for-R5",
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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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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-prim-purp-type-for-R5",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-reason-stopped-for-R5",
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            ],
            "severity": "warning",
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            "details": {
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-study-status-for-R5",
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        "resourceType": "OperationOutcome",
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            ],
            "severity": "warning",
            "code": "business-rule",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-research-subject-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-research-subject-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10848
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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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4-research-subject-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-aggregation-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-aggregation-mode-for-R5",
        "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": 2951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-resource-aggregation-mode-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-security-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-security-category-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-resource-security-category-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-slicing-rules-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-slicing-rules-for-R5",
        "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-resource-slicing-rules-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-status-for-R5",
        "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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              },
              {
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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-resource-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-type-link-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-type-link-for-R5",
        "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": 4722
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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-resource-type-link-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-types-for-R5",
        "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-resource-types-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-resource-validation-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-resource-validation-mode-for-R5",
        "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": 4019
              },
              {
                "url": "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-resource-validation-mode-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-response-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-response-code-for-R5",
        "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": 2933
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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 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "ValueSet/R4-response-code-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-restful-capability-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-restful-capability-mode-for-R5",
        "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": 2840
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              {
                "url": "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-restful-capability-mode-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-restful-security-service-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-restful-security-service-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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-restful-security-service-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-risk-estimate-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-risk-estimate-type-for-R5",
        "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": 5884
              },
              {
                "url": "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 '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-risk-probability-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-risk-probability-for-R5",
        "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": 3361
              },
              {
                "url": "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-risk-probability-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-route-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-route-codes-for-R5",
        "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": 2088
              },
              {
                "url": "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": [
              "ValueSet/R4-route-codes-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-comparator-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-search-comparator-for-R5",
        "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-search-comparator-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-entry-mode-for-R5",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-search-entry-mode-for-R5",
        "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"
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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-search-entry-mode-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-modifier-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-search-modifier-code-for-R5",
        "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": 5933
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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-search-modifier-code-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-param-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-search-param-type-for-R5",
        "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": 5039
              },
              {
                "url": "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-search-param-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-search-xpath-usage-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-search-xpath-usage-for-R5",
        "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": 4404
              },
              {
                "url": "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-search-xpath-usage-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-secondary-finding-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-secondary-finding-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-security-labels-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-security-labels-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-security-role-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-security-role-type-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-quality-method-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sequence-quality-method-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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-R5: 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": 2233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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-R5: 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": 2237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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/r5: Unable to provide support for code system https://precision.fda.gov/apps/"
            },
            "expression": [
              "ValueSet.where(id = 'R4-sequence-quality-method-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-quality-standardSequence-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sequence-quality-standardSequence-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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-R5: 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": 2126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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/r5: Unable to provide support for code system https://precision.fda.gov/files/"
            },
            "expression": [
              "ValueSet.where(id = 'R4-sequence-quality-standardSequence-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-referenceSeq-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sequence-referenceSeq-for-R5",
        "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": "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-R5: 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": 2297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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-R5: 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": 2301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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/r5: Unable to provide support for code system http://www.ensembl.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4-sequence-referenceSeq-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-species-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sequence-species-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequence-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sequence-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sequenceontology-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sequenceontology-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          },
          {
            "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"
              }
            ],
            "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-R5: 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/r5: Unable to provide support for code system http://www.sequenceontology.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4-sequenceontology-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-series-performer-function-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-series-performer-function-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3810
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-service-category-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2094
              },
              {
                "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-R5: 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": 2094
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-modifiers-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-modifiers-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-pharmacy-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-pharmacy-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-place-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-place-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-product-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-product-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-provision-conditions-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-provision-conditions-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-service-provision-conditions-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-referral-method-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-referral-method-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2050
              },
              {
                "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-R5: 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": 2050
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-service-uscls-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-service-uscls-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-servicerequest-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-servicerequest-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-servicerequest-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-servicerequest-orderdetail-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-servicerequest-orderdetail-for-R5",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-servicerequest-orderdetail-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-sibling-relationship-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-sibling-relationship-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-signature-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-signature-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-slotstatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-slotstatus-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4-slotstatus-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-smart-capabilities-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-smart-capabilities-for-R5",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-spdx-license-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-spdx-license-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 75045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-special-values-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-special-values-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-collection-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-collection-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-collection-method-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-collection-method-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-collection-priority-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-collection-priority-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-contained-preference-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-contained-preference-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-container-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-container-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-processing-procedure-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-processing-procedure-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-specimen-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-specimen-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-specimen-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-standards-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-standards-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-standards-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-strand-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-strand-type-for-R5",
        "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 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4-strand-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-structure-definition-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-structure-definition-kind-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-structure-definition-kind-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-study-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-study-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subject-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subject-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscriber-relationship-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscriber-relationship-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscription-channel-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscription-channel-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscription-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscription-status-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-subscription-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-subscription-tag-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-subscription-tag-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-substance-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-substance-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3599
              },
              {
                "url": "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-substance-category-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-substance-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-substance-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-substance-code-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-substance-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-substance-status-for-R5",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4-substance-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supplement-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supplement-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25564
              },
              {
                "url": "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-supplement-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supply-item-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supply-item-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2409
              },
              {
                "url": "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-supply-item-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supplydelivery-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supplydelivery-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-supplydelivery-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-supplyrequest-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-supplyrequest-status-for-R5",
        "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-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-ucum-common-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-ucum-common-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 303562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-udi-entry-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-udi-entry-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-udi-entry-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-udi-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-udi-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-unknown-content-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-unknown-content-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-use-context-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-use-context-for-R5",
        "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": "TYPE_SPECIFIC_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-R5: 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": 3637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/practitioner-specialty'"
            },
            "expression": [
              "ValueSet/R4-use-context-for-R5: ValueSet.compose.include[1].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/usps-state could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R4-use-context-for-R5: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/practitioner-specialty could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R4-use-context-for-R5: ValueSet.compose.include[1].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/usps-state'"
            },
            "expression": [
              "ValueSet.where(id = 'R4-use-context-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0001-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0001-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0002-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0002-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0004-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0004-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-v2-0004-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0005-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0005-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-v2-0005-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0007-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0007-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-v2-0007-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0008-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0008-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5674
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-v2-0008-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0009-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0009-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-v2-0009-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0012-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0012-for-R5",
        "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"
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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-v2-0012-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0017-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0017-for-R5",
        "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"
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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-v2-0017-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0023-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0023-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-v2-0023-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0027-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0027-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0926-for-R5",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0926-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0927-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0927-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v2-0927-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0933-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0933-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-0935-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-0935-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.1-0006-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-2.1-0006-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5039
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.3.1-0360-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-2.3.1-0360-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23411
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.4-0006-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-2.4-0006-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32445
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.4-0391-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-2.4-0391-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4737
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.6-0391-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-2.6-0391-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48985
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-2.7-0360-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-2.7-0360-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23866
              },
              {
                "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-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v2-4000-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v2-4000-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementCondition-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementCondition-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementDetailCode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementDetailCode-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementDetailType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementDetailType-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-AcknowledgementType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-AcknowledgementType-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClass-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ActClass-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassClinicalDocument-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ActClassClinicalDocument-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ActClassDocument-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ActClassDocument-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
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      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-GTSAbbreviation-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-GTSAbbreviation-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-GenderStatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-GenderStatus-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-GeneralPurposeOfUse-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-GeneralPurposeOfUse-for-R5",
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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"
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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": [
              "ValueSet/R4-v3-GeneralPurposeOfUse-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-HL7ContextConductionStyle-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-HL7ContextConductionStyle-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-HL7StandardVersionCode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-HL7StandardVersionCode-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-HL7UpdateMode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-HL7UpdateMode-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-HtmlLinkType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-HtmlLinkType-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-HumanLanguage-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-HumanLanguage-for-R5",
        "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-v3-HumanLanguage-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-IdentifierReliability-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-IdentifierReliability-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-IdentifierScope-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-IdentifierScope-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-InformationSensitivityPolicy-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-InformationSensitivityPolicy-for-R5",
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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-v3-InformationSensitivityPolicy-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-IntegrityCheckAlgorithm-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-IntegrityCheckAlgorithm-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-LanguageAbilityMode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-LanguageAbilityMode-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-LanguageAbilityProficiency-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-LanguageAbilityProficiency-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-LivingArrangement-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-LivingArrangement-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-LocalMarkupIgnore-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-LocalMarkupIgnore-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-LocalRemoteControlState-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-LocalRemoteControlState-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ManagedParticipationStatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ManagedParticipationStatus-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-MapRelationship-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-MapRelationship-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-MaritalStatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-MaritalStatus-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-MessageWaitingPriority-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-MessageWaitingPriority-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-MilitaryRoleType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-MilitaryRoleType-for-R5",
        "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-v3-MilitaryRoleType-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ModifyIndicator-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ModifyIndicator-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-NullFlavor-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-NullFlavor-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObligationPolicy-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObligationPolicy-for-R5",
        "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": 3461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4-v3-ObligationPolicy-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationCategory-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationCategory-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationInterpretation-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationInterpretation-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationMethod-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationMethod-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationType-for-R5",
        "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-v3-ObservationType-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2503
              },
              {
                "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-R5: ValueSet.compose.include[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ObservationValue-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ObservationValue-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationFunction-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationFunction-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationIndirectTarget-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationIndirectTarget-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-v3-ParticipationInformationGenerator-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationInformationGenerator-for-R5",
        "issue": [
          {
            "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",
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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-v3-ParticipationInformationGenerator-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationInformationTranscriber-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationInformationTranscriber-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationPhysicalPerformer-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationPhysicalPerformer-for-R5",
        "issue": [
          {
            "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",
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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-v3-ParticipationPhysicalPerformer-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationSignature-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationSignature-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationTargetDirect-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationTargetDirect-for-R5",
        "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-v3-ParticipationTargetDirect-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ParticipationTargetLocation-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ParticipationTargetLocation-for-R5",
        "issue": [
          {
            "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",
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            "details": {
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            ],
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        "id": "ValueSet-R4-v3-QueryPriority-for-R5"
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      "resource": {
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        "id": "ValueSet-R4-v3-QueryRequestLimit-for-R5"
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        "id": "ValueSet-R4-v3-QueryResponse-for-R5"
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        "id": "ValueSet-R4-v3-QueryStatusCode-for-R5"
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-Race-for-R5"
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ReligiousAffiliation-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-ResponseLevel-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-ResponseLevel-for-R5"
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-policyHolderRole-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-styleType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-styleType-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-substanceAdminSubstitution-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-substanceAdminSubstitution-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-triggerEventID-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-triggerEventID-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-v3-xBasicConfidentialityKind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-v3-xBasicConfidentialityKind-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-vaccine-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-vaccine-code-for-R5",
        "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": "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-variable-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-variable-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4-variable-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-variant-state-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-variant-state-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-variants-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-variants-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-R5: 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": 2139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-R5: 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/r5: Unable to provide support for code system http://varnomen.hgvs.org/"
            },
            "expression": [
              "ValueSet.where(id = 'R4-variants-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-R4-written-language-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4-written-language-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-written-language-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.0/OperationOutcome/ValueSet-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-designation-usage"
      }
    }
  ]
}